Muckleshoot Indian Tribe

Medical Social Worker - MEIHSS

# of Openings
Human Services
Job Status
USD $61,587.00/Yr.
Regular Full-Time
Pay Grade
Hiring Manager Title
Elders In Home Services Manager


Under general supervision, provides professional social work and case management services to Elders and families receiving Elders In-Home Support Services.


  1. Coordinates and collaborates with Tribal and public social service programs to support independent living for Muckleshoot Elders, the homebound, vulnerable adults, and/or the temporarily disabled under the Elder In-Home Support Services Program.
  2. Assists Elders with obtaining services through SSI, Medicare, and Medicaid to supplement care provided by family members and other Muckleshoot service agencies for all qualifying members and to help families coordinate and optimize the Tribal, Federal, and State benefits available to qualifying members.
  3. Interviews and assists clients with problems such as personal and family adjustments, finances, employment, food, clothing, housing, substance issues, and domestic abuse to determine nature and degree of problem.
  4. Assesses the psycho/social functions of elders and their families and intervenes when necessary. Connects elders and families to necessary resources and supports in the community. Provides counseling, social support and encourages participation in activities at the Elder’s Complex.
  5. Interviews hospital patients and their families and coordinates and plans programs and activities to meet their social and emotional needs. Provides crisis intervention and assists families in understanding the implications and complexities of the medical situation and its impact on lifestyle. Coordinates and plans with outside agencies and home care nursing staff for post-discharge care.
  6. Secures information such as medical and social factors contributing to client’s situation, and evaluates these and client’s capacities. Conducts assessments of elders and their family situations and completes home evaluations in order to represent the best interests of the elder.
  7. In partnership with the Elders In-Home Case Manager, counsels clients individually regarding plans for meeting needs, and aids client to mobilize inner capacities and environmental resources to improve social functioning and/or help determine need for and initiates alternative out-of-home placements such as adult family home, assisted living, skilled nursing facility, and/or hospice.
  8. Completes individual care plans to optimize activities of daily living and/or arrange in-home services to coincide with the patients hospital discharge. Care planning is the process of developing an agreement between the individual and Muckleshoot Elders in-home services regarding identified problems, outcomes to be achieved, and services to be pursued in support of goal achievement.
  9. Visits and meets with Elders to ensure quality care, and determine goals are being met. Refers clients to Tribal or community agencies and other resources as needed. Maintain contact with collateral agencies, families, relatives, providers and other Muckleshoot Elder In-Home Services Program staff in order to coordinate services and advocate for available resources for clients.
  10. Attend and participate in Elder care meetings as a means to reach a care plan. Reviews service plan and performs follow-up to determine quantity and quality of services provided to Elder and status of Elders care.
  11. Advise Elders on adult protective issues and makes referrals to appropriate agencies and identify problems that may compromise the discharge and put the patient at risk.
  12. Develops and maintains a confidential client filing system, case records and required forms, including service episode records, case plans, risk assessments and/or safety plans and ensures other documentation is obtained and filed appropriately.
  13. Transports clients when necessary.
  14. Recruit, train, and provide support and retention services to community partners. Consults with and advise external service providers as to the relationship of social, emotional, and cultural factors to health and medical care, and as to the availability of social services in the tribal community.
  15. Attends mandatory and/or approved trainings.
  16. Because of the Tribe’s commitment to community service and the well being of its members, each employee may be expected to perform a wide range of office and field duties from time to time. Such duties may or may not be related to their regular responsibilities.


Required: Bachelor degree in Social Sciences, Psychology, or related field from an accredited college or university with two (2) years social work experience, preferably with the elderly and/or Native American clients.


Special Requirements: Must pass a criminal background check, a drug screen and meet all health and immunization requirements.


Skill in: Communicating effectively in both verbal and written form; adapting to changing situations; assessing clients and monitoring performance; comprehending and interpreting records/documents; listening effectively; problem solving; time management; multi-tasking; crisis intervention; advocacy; case management.


Knowledge of: Professional social work principles, methodology and ethics; use of therapeutic relationships to foster client self-determination; human psycho-social development within the context of family, community and culture; therapy theories and techniques and understanding of therapeutic process; techniques for facilitating client motivation to change behavior problems; social welfare policy; health and social issues impacting client and community well being.


Ability to: Maintain professional relationships; maintain records and prepare reports; communicate effectively; maintain confidentiality.


While performing the duties of this job, the employee is frequently required to sit; talk or hear; use hands to operate, finger, handle, or feel objects, tools, or controls; and reach with hands and arms. The employee is occasionally required to stand or walk; lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. The noise level in the work environment is usually moderately quiet.

Licenses or Certifications Required

Current and valid WA State driver’s license.


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