Social Service Director

Job Details

Description

Salary: $24-$26

Job Summary

The social worker works directly with residents to identify their psychosocial, mental and

emotional needs along with providing, developing, and/or aiding in the access of

services to meet those needs. Services will be provided in accordance with the CMS

and NYS regulations along with strict adherence to facility policies. The social worker is

responsible for fostering a patient centered care, policies and routines that enable

residents to maximize their individuality, independence and dignity. This patient centered

cared Provides residents with the highest practical level of physical, mental and

psychosocial well-being and quality of life.

Essential Duties & Responsibilities

• Upon admission the social worker will complete a social history and psychosocial
  
  

assessment for each resident that identifies social, emotional, and psychological

needs.

• Upon admission the social worker will determine the resident’s code status, will
  
  

maintain advance directive paperwork/policies at all times ensuring 100% of

facility wide accuracy, and will assist residents/representative in modifying

advanced directives when desired.

• Participate in the development of a written, interdisciplinary plan of care for each
  
  

resident that identifies the psychosocial needs/issues of the resident, the goals to

be accomplished for those needs/issues, and the appropriate social worker

interventions.

• Facilitate Care Plan meeting with resident/family and interdisciplinary team
  
  

admission quarterly, annually and significant changes.

• Ensure or provide therapeutic interventions to assist residents in coping with their
  
  

transition and adjustment to a long-term care facility, including their social,

emotional, and psychological needs.

• Ensure or provide support and education to residents/family members/significant
  
  

others to assist in their understanding of placement and facility issues in addition

to referring them to the appropriate services when the facility does not provide the

needed services.

• Act as staff liaison for resident counsel and family counsel groups.
• Provide clinical interventions to address catastrophic events that occur during the
  
  

resident’s stay in the facility.

• Discharge planner by identifying residents discharge plans and coordinate the
  
  

resident discharge planning process by making referrals for appropriate home

care services prior to the resident’s return to the community.

• Meet with and provide counsel and support to those residents with psychosocial
  
  

needs, those that self-direct care in a manner that prohibits them reaching their

highest practicable level of functioning, and those needing additional support and

TLC.

• Provide a summary documentation no less than quarterly based on the MDS
  
  

schedule. Such documentation shall be in the form of a progress note and shall

be completed prior to completion of the MDS as assigned on the MDS schedule.

• Completion of BIM’s, Mood, Psychosocial, Behavior, and Discharge observations
  
  

timely and in accordance with established policies and guidelines

• Complete sections of the MDS as assigned timely and accurately.
• Daily documentation on resident/representative interactions.
• 14, Facilitate room-changes.
• Participate in QAPI including the completion and presentation of audits as
  
  

assigned as well as the identification of issues related to resident wellbeing.

• Completing all required documentation in the medical record (EMR)
• Work collaboratively with members of all disciplines, internally and externally, to
  
  

ensure the highest quality of care for resident's and families

• Other duties as assigned.
  
  

Required Skills & Abilities

• Displays optimism fostering a spirit of teamwork, positive attitude and conflict
  
  

resolution among co-workers. Interacts positively with residents, family members

and visitors in all circumstances.

• Excellent Communication Skills, both written and verbal. Ability to coordinate
  
  

activities in conjunction with other departments to ensure residents feel safe and

empowered. Interacts positively with family members, updating them on how

resident is doing.

• Strive for excellence performing duties with measured accuracy and timeliness
  
  

and exhibiting a commitment to strive for excellence

• Problem solver identifying actual/potential problems and creates an action plan
  
  

for resolution and then measuring outcomes to determine course of action.

• Displays excellent Customer Service by assisting and cooperating with other
  
  

personnel and interdisciplinary teams exhibiting helpfulness and support to all

team members. Provides direction to visitors, staff, volunteers and external

populations

• Exhibits Professionalism
  
  

Qualifications

Education: Minimum: Bachelor’s degree in Social Work, Human Services, or

Psychology

Preferred: LMSW , BSW or MSW

Experience: Minimum: 1 year of experience (paid or Volunteer) in a health care

setting working directly with individuals in a geriatrics setting.

Preferred: MDS, discharge planning and electronic medical records