Come help us elevate the lives of our residents! We are looking for a Social Worker to complete annual assessments in our Long-Term Services and Support (LTSS) Service area utilizing the MnCHOICES assessment tool and will be a member of an interdisciplinary team of Public Health Nurses and Social Workers. The team administers Medicaid waiver and state programs that serves seniors, individuals with brain injury, mental health, complex medical, developmental, and physical disabilities. Location and hours: This position is hybrid and will be performed both on-site at a variety of Hennepin County offices, in the field at community locations to meet with people supported by LTSS programs, and remote as job duties require. Work hours are flexible and primarily 8 a.m. - 4:30 p.m., Monday through Friday with the possibility of some occasional evening hours. While this position is designated as hybrid, based on current requirements hires must reside in Minnesota or Wisconsin. In this position, you will: Conduct person-centered comprehensive social/health/medical/psych assessments using the MnCHOICES assessment tool. Complete referrals and transfers for service planning and crisis intervention services. Determine applicants' risk of institutional care and their Level of Care according to state and federal criteria. Analyze assessed data and assist applicants in identifying relevant goals along with providing specific supports that will enhance a person's ability to meet goals. Determine and make appropriate community resource referrals on behalf of the applicant. Maintain a broad knowledge base related to payer sources and community-based services. Coordinate access to Medicaid Waiver programs and medical assistance Home Care services. Open eligible applicants to Waivers and personal care assistant services according to availability. Document data and case activities in state and county computer-based programs.