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Metropolitan Area Agency on Aging logo

Company Profile

St. Paul, Minnesota
United States

Social Worker - Community Living Specialist

Targeted Min. Starting Salary 42,000.00
Targeted Max. Starting Salary 50,000.00

Job Responsibilities:
Provide intensive care coordination and relocation assistance for nursing home residents with moderate to complex health and social needs to enable them to return to the community. Develop, coordinate and implement person-centered planning with consumers, caregivers, nursing facility interdisciplinary team members, community-based service providers, ombudsmen, and others to facilitate successful transitions.

Essential job duties for this position include the following items:
• Coordinate person-centered transitions of care that support community living with nursing home residents, caregivers, nursing facility staff and community providers.
• Meet with individuals face-to-face in nursing facilities and their homes to complete person-centered assessments, offer options counseling and connect them to needed services.
• Research home and community-based service options and educate consumers about the availability and cost of such options.
• Follow up with consumers following relocation to ensure service delivery, maximize satisfaction and address any safety concerns.
• Establish and meet defined productivity goals.
• Ensure client confidentiality and data privacy in all customer interactions.
• Build cooperative relationships with nursing home partners, community service providers and state representatives, using an interdisciplinary team process to facilitate transitions planning.
• Identify signs, symptoms, and risk factors for abuse and report potentially vulnerable situations to the county Common Entry Point in a timely manner.
• Promote a work climate conducive to high productivity, positive staff morale and responsiveness to changing community needs.
• Adhere to all MAAA policies and procedures and the Minnesota Board on Aging’s Standards and Assurances for the Senior LinkAge Line® system. Contribute to and support MAAA’s mission, vision and strategic direction.

Administrative Tasks: • Utilize technology to complete assessments, develop care plans, report on status of relocation activities, track required statistical data to meet State and Federal reporting requirements, coordinate services on behalf of consumers and follow up with them.

Job Qualifications:
• Demonstrated experience in helping consumers navigate the long-term care service system including formal, quasi-formal and informal organizations and providers using a person-centered approach.
• Understanding of the aging process and challenges of families related to caregiving.
• Knowledge of financing options to support long-term care services including Medicare benefits, Long-Term Care Insurance and public benefit programs.
• Strong time management and organizational skills.
• Continual attention to detail and accuracy.
• Ability to manage competing tasks and demands while meeting deadlines.
• Excellent customer service skills.
• Excellent interpersonal skills. Ability to work independently and as part of a team.
• Take initiative; use sound judgment when making decisions or seeking input and direction.
• Valid driver’s license and proof of insurance required.
• Strong proficiency in Microsoft Office Suite - specifically Word and Outlook, and skill using the Internet in a business environment.

• Licensed Social Worker or Registered Nurse with Baccalaureate Degree required.
• Three years of case management/care coordination experience in a health care setting required.
• Ability to successfully complete required Core Body of Knowledge coursework to become a certified health insurance counselor.
• Ability to successfully complete required online coursework including the Boston University Social Work Aging Certificate, Vulnerable Adult Mandated Reporter training, Protecting Information Privacy training and others.

Language Skills: • Read, comprehend and implement protocols and procedures. • Effectively present information in one-on-one situations to customers, partners, and other employees of the organization in both written and oral formats.

Mathematical Skills: • Add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. • Compute cost comparisons for consumers to assist with long-term care planning, insurance plan selection and benefits counseling.

Reasoning Ability:

• Exercise a high level of independent judgment and planning to carry out responsibilities of the position.

• Apply common sense understanding to carry out detailed written and oral instructions and proactively approach others with questions.

• Problem-solve complex issues with multiple variables in a variety of situations.

• Prepare, interpret and present cost comparisons for consumers to assist with long-term care planning, insurance plan selection and benefits counseling.

Other Job Information (if applicable):
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

• Standing - Minimal; approximately less than 1/4 of on-the-job time.
• Walking - Minimal; approximately less than 1/4 of the on-the-job time.
• Sitting - Frequent; approximately greater than 3/4 of the on-the-job time.
• Use of hands to finger, handle or feel - Frequent; approximately greater than 3/4 of the on-the-job time.
• Reaching with hands and arms - Frequent; approximately greater than 3/4 of the on-the-job time.
• Stooping, kneeling, crouching or crawling - Minimal; approximately less than 1/4 of the on-the-job time.
• Talking or hearing - Frequent; approximately greater than 3/4 of the on-the-job time.
• Weight lifted/Force exerted - Up to approximately 20 pounds, non-continuously.
• Vision - Close vision (clear vision at 20 inches or less).
• Travel/Driving - Frequent; approximately 5 nursing facility, home visits or similar trips/week. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job.
• Environmental - Occasionally work near moving mechanical parts.
• Noise - Moderate (i.e. multiple conversations simultaneously, computers, printers, etc.)



Metropolitan Area Agency on Aging is an Equal Opportunity Employer / Affirmative Action 

Employer (M/F/Disabled/Veterans).


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