Social Services Coordinator Tues-Sat

Job Description

Job Description

Position Title :

Social Services & Discharge Planning Coordinator

Position Salary Grade and Status :

Non-Exempt

Department : Social Services

Direct Supervisor :

Director of Social Services

Position Summary :

Provides social services support to the community while functioning as an advocate for the residents, family members, and continued success of the organization.

Social Services Essential Duties and Responsibilities :

1. Completes documentation in the resident's charts regarding pertinent information to conform to organizational policy, industry standards, along with required state and federal regulations and protocol.

2. Discusses with and informs the appropriate department(s), residents, and resident families of room changes / transfers in a timely manner.

3. Initiates and participates in family meetings to discuss a resident's level of care, family concerns, or new diagnosis.

4. Attends and participates in departmental, organizational, and other requested or required trainings and meetings.

5. Completes MDS requirements in an effective and efficient manner, in accordance with appropriate and standard protocols.

6. Participates in and attends resident care plans to create and ensure a team approach to resident desires, needs, concerns.

7. Communicates effectively with referral sources, such as home health agencies, other nursing homes, hospitals, etc, regarding residents or potential residents on our campus.

8. Assists in supporting other departments as needed and requested to benefit residents and families.

9. Using superior customer service and problem solving skills, addresses and assists in solving resident and family concerns, including unaccounted items, changes in care levels, and facilitating relationships with other staff members.

10. Understands and is invested in the mission of Norwood Crossing and our dedication to our residents. This understanding is reflected and exhibited consistently through a customer service approach to the execution of all duties, responsibilities and interactions at the workplace.

11. Observes and practices all safety standards and protocols as set forth by manufacturers, the department(s), Safety committee, and the organization as appropriate.

12. Completes and distributes all necessary paperwork for admissions and discharges; works with residents, family members, staff, vendors, and outside agencies as appropriate to create the best possible transitions.

13. Performs any other tasks and responsibilities as assigned and necessary.

Discharge Planner Essential Duties and Responsibilities :

1. Complete all required social service documentation in a timely manner.

2. Responsible for timely completion of MDS 3.0.

3. Complete a discharge plan and assessment within a 24 hour guideline.

4. Competent in written clinical documentation.

5. Able to care plan / service plan behavior / mood or other issues with admissions.

6. Meet Medicare / Medicaid standards of Care Plans meetings and Notice of Medicare provider non-coverage.

7. Able to work well with families and resident during crisis and LTC adjustments.

8. Address and explain resident rights.

9. Able to assist and facilitate advance directives

10. Ability to make referrals and communicate with physicians and hospitals.

11. Able to complete paperwork as needed for completion of discharge.

12. Facilitate the facility Bed hold policy and Care Plan letters.

13. Able to intervene and liaison between staff, family, and resident.

14. Able to problem solve and defuse issues with residents.

15. A willingness to support and assist Social Services, Admissions, and other related disciplines.

16. Ability to adapt and be flexible on a daily basis.

17. Advocate for the residents.

18. Responsible for successful discharge to community, elsewhere placement, or to the facility's sheltered care / assisted living communities.

19. Able to make appropriate referrals for residents requiring a non-home based assistance; nursing home, shelter care, assisted living

20. Active member of the facility's Quality Improvement Team.

21. Set goals for resident along with IDT for re-entering the community and home

22. Refer and work alongside of home health / ancillaries / equipment companies and hospices.

23. Ability to have work flexibility, especially during survey or IDPH to work longer hours if required.

24. Must interact on a professional level with the interdisciplinary team as well as residents, families, vendors, and physicians.

Qualifications :

• Bachelor's degree in psychology or related field.
• Ability to read, write, understand and communicate in English.
• Ability to pass the pre-employment and annual physical examinations.
• Ability (after brief training period) to demonstrate proper use of chemicals, supplies, and equipment as appropriate.

Physical and Mental Demands :

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