Social Worker (MSW) Full Time, Days, 8:30AM-4:30PM, Atlantic Medical Group, Morristown, NJ

Job description

The social worker will primarily function as one of our GUIDE Care Navigators and acts as the primary point of contact between eligible patients living with dementia, their caregivers (referred to as the dyad), and the care team at the Geriatric Assessment Center and AHS. Principal Accountabilities: (1). Provide eligible patients and families with a screening assessment and educate them about the GUIDE model and its components. (2). Participate in completion of the enrollment documents and submission of all information on the information portal at the time of enrollment and on an ongoing basis as delineated by CMS. (3) Provide dementia-specific education and support to the patient and family, and help families learn what to expect in the future. (4) Routinely perform home visits and virtual visits to screen dyads for unmet care needs (including clinical and medication issues), behavioral issues, safety risks, and psychosocial well-being. (3). Work closely with the GUIDE Program Manager and the GAC clinical team to address care needs and coordinate respite referrals. (4). Connect dyads to local community services, including respite care. (5). Collect information about medications an...