Social Services - MSW (Masters of Social Work)
Social Services - MSW (Masters of Social Work)
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Job Description
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Title: MSW Case Manager Community-Based PACE Program
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Department: LSMW Care Manager
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Type: Travel Contract 8 Weeks
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Schedule: Day Shift Monday to Friday 5x8-Hour 08:00 AM 4:30 PM
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Start Date: August 25 2025
We are seeking an experienced MSW Case Manager to support its community-based PACE (Program of All-Inclusive Care for the Elderly) clinic. The case manager will serve as a vital member of the interdisciplinary team (IDT) coordinating care supporting transitions and ensuring safe discharge planning. This role is ideal for licensed social workers with strong skills in assessments discharge planning and care coordination for elderly and vulnerable populations.
Responsibilities:-
Conduct initial and 180-day biopsychosocial assessments of participants in the PACE program
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Coordinate hospital and SNF discharges in collaboration with discharge planners and the IDT
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Develop individualized care plans and goals in alignment with IDT recommendations
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Monitor participant progress and ensure continuity of care
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Provide psychosocial support counseling and education to patients and caregivers
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Facilitate referrals to community-based programs and long-term care facilities
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Advocate for participants by navigating Medicare Medicaid and social service systems
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Document care planning and service delivery accurately in EPIC
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Ensure culturally competent care for patients with complex medical psychiatric or socio-economic needs
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Minimum 2 years of relevant experience required
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Travel experience required first-time travelers not accepted
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Must be licensed in Washington State as LICSW LSWAIC or LASW only one is required
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MSW degree required
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BLS Certification required
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Epic charting experience required
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Community hospital or outpatient clinic experience required
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Must be able to coordinate across multiple care settings and with external providers
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RTO must be included at time of submission
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No weekends on-call or holidays required
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Masters degree in Social Work (MSW) from an accredited program
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2 years of case management experience in community outpatient or hospital settings
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Experience with vulnerable populations discharge planning and multidisciplinary coordination
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Must hold one of the following WA State licenses:
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LICSW (Licensed Independent Clinical Social Worker)
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LSWAIC (Licensed Social Worker Associate Independent Clinical)
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LASW (Licensed Advanced Social Worker)
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BLS Certification required
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Case Management & Utilization Review:
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Care coordination discharge planning continued stay reviews prior authorizations
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Familiarity with admission criteria appeals denials and benefits eligibility
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Assessments & Psychosocial Evaluations:
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Biopsychosocial assessments geriatric depression scale dementia screening
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Development of problem lists and goals
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Protective Services & Risk Management:
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Knowledge of APS guardianship POA emergency detention
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Care Coordination & Interdisciplinary Communication:
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Referral to rehab LTC and social/community agencies
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Participation in care conferences and documentation in EPIC
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Special Populations:
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Dementia psychiatric disorders drug/alcohol dependency
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Cultural sensitivity vulnerable adult safety interventions
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Community Resource Navigation:
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Medicare/Medicaid HCBS Social Security aging agency programs
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Counseling & Crisis Intervention:
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Short-term therapy patient education discharge contingency planning
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ATD Technology LLC is a certified minority woman owned business that creates opportunities to match qualified individuals with client programs while meeting all parties financial and technical goals. ATD is a full service provider with offerings in Contract Permanent and Temp-to-Perm staffing solutions. We serve Fortune 1000 mid cap and small cap companies in the Commercial Public and Government sectors.
Employment Type
Full-time
