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Social Work Coordinator

Company: Archcare
Location: Bronx
Posted on: June 7, 2021

Job Description:


THE MISSION of Archcare is to foster and provide faith-based holistic care to frail and vulnerable people unable to fully care for themselves. Through shared commitments, the System seeks to improve the quality of the lives of those individuals and their families.

Organization Competencies

Attitude/Teamwork - Supports a positive environment; takes special actions to "connect" with others. Demonstrates collaborative spirit in support of "system-ness" and continued integration among Archcare entities. Shows energy and enthusiasm in work relationships. Actively seeks ways to promote system cooperation and foster morale. Demonstrates pride in the team.

Problem Solving/Organization - Effective in recognizing problems and identifying workable solutions. Seeks out relevant information and effectively prioritizes tasks. Demonstrates appropriate follow-up. Learns from mistakes; takes ownership of decisions and actions.

Communication/Motivation - Builds strong work relationships through effective interactions with others. Maintains a high degree of self-awareness, with a willingness to admit faults or mistakes. Demonstrates a high level of respect for others and alternative views. Recognizes value and achievement in others.

Mission/Guest Relations - Places customer needs and expectations at the center of all actions, in accordance with The Mission of Archcare. Demonstrates a shared commitment to a supportive, integrated system. Maintains positive work relationships to improve the quality of life of those we serve.

Archcare Guiding Values

Justice: We live and work as members of a community, and all members of our community have rights that are coupled with responsibilities.

Inclusiveness: While we are unified as one community, each of us is valued for our unique heritage and defined only by our eagerness to contribute to the best of our abilities.

Respect: Each of us is as important as any other - whether resident, family, friend, volunteer or employee - and we must respect each other if we are to receive respect.

Integrity: To be a truly caring community, we must speak and act with total honesty, without concern for the consequences of our truthfulness.

Benevolence: We recognize that those with the greatest needs often have the least resources, and we will provide the same care to the disenfranchised that we do to those who have been more fortunate.

Humility: While subscribing to high ideals, we will recognize our individual and collective limits. Only then can we continue to grow towards who and what we so earnestly strive to be.

Spirituality: While we take pride in following the traditions of the Roman Catholic Church, we seek to serve people of all beliefs equally and to fulfill each individual's spiritual needs by respecting their distinct beliefs.


Job Summary

The social work coordinator develops and maintains a therapeutic relationship with the participant to optimize participant functioning by providing quality services in conjunction with the interdisciplinary team. The social worker will conduct initial, sixth month and as necessary, face to face biopsychosocial assessments with each of the participant's strengths and limitations. The social worker develops an individualized life plan with the participant identifying his or her goals and implementing interventions to assist with achieving their goals. The social worker always works within an interdisciplinary team, collaborates with team members and advocates for the participant when necessary. The social worker is expected to make home visits when necessary and communicates with supervisors and other team members when there is a change in mood and or behavior. The social worker assists with concrete services and helps the participant adjust to difficult life challenges such as medical conditions.

Essential Functions

  • Assesses participants/family psychosocial status and social work needs utilizing professional knowledge, skills of observations and interviewing skills.
  • Assesses a member's living condition/situation, cultural influences, and support systems to identify member's strengths and deficits.
  • Hospital and Skilled Nursing Facility liaison/Discharge Planner
  • Assesses a member's need for Money Management Services, as needed.
  • Develops and implements the social work components and works with other team members to develop a comprehensive Interdisciplinary team plan of care based on the needs of participant and caregivers, and goals mutually acceptable to the member/family and significant others
  • Monitors effectiveness and outcomes regularly and keeps the team informed as to participant progress and level of need. Remains alert to pertinent input from other team members, participants and family members/caregivers. Reviews and revises goals and approaches to member/ family care in coordination with interdisciplinary team members.
  • Provides initial face-to-face psychosocial assessments of new members enrolled in the program, and face-to-face reassessments at appropriate intervals according to PACE standards and the individualized needs of each participant
  • Provides ongoing in-person and telephonic assessments and services to identified participants, family, including emotional support, reassurance, assistance with community resource planning and crisis intervention.
  • Coordinates with the Entitlement Coordinator to ensure that entitlements and benefits are in place and recertified annually.
  • Provides advocacy to member/family, e.g., assistance in obtaining entitlements and community services and resources
  • Coordinates with the Interdisciplinary Team (IDT) on obtaining of Advance Directives. Provides education to participants, designated representatives and family members on their right to develop Advance Directives which may include Health Care Proxy, Living Will, DNR, MOLST, Durable Power of Attorney and or Burial Plans.
  • Educates and assesses participants/family understanding and ability to pay surplus and entitlements. Coordinates with participants/caregivers, discharge planners, physicians and social workers during hospitalizations, subacute rehabilitation stays and Long Term Care Placement for continuity of care




1 year Case Management/Field Experience

Keywords: Archcare, New Rochelle , Social Work Coordinator, Other , Bronx, New York

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