Social Services/Discharge Planner

Social Worker/Discharge Planner

The Social Services Director is responsible for overseeing the development, implementation, supervision and ongoing evaluation of the Social Services Department designed to meet and assist residents in attaining or maintaining their highest practicable well-being. This includes identifying the need for medically-related social services and ensuring that these services are provided in accordance with State and Federal regulations.

The Social Services Director will complete and/or direct/delegate the completion of the social services component of the comprehensive assessment. The Social Services Director will also contribute to and/or direct/delegate contribution of social services goals and approaches to the comprehensive care plan.

The Social Services Director will facilitate residents’ safe transition back into the community through interdisciplinary discharge planning and arrangement of community based services and follow-up care. The Social Services Director will assist residents in voicing and obtaining resolution to grievances.

v Treats all residents with dignity and respect. Promotes and protects all residents’ rights.

v Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct, and state/federal regulations and guidelines.

v Follows appropriate safety and hygiene measures at all times to protect residents and themselves.

v Maintains confidentiality of protected health information, including verbal, written, and electronic communications.

v Assists residents in obtaining transportation to medical appointments, upon discharge, etc.

v Acts as a resource for staff participating in behavioral interventions with residents.

v Participates in Resident and/or Family Council as needed or requested.

v Assists with, or arranges for, a resident’s communication of needs through the resident’s primary method of communication or in a language that the resident understands.

v Identifies medically related social and emotional needs of each resident and provides services to meet each need.

v Contributes to the facility efforts to maintain and/or improve quality of care through participation in the following:

• Attends Care Plan meetings.
• Serves as a member of the QAPI Committee.
• Serves as a member of the Behavior Management Committee.
• Attends Department Head/Stand Up Meetings.
• Attends mandatory in-services.
• Successfully completes the facility required training, and any Social Work continuing education and licensing requirements.
• Maintains facility grievance log.

• Assist residents and families with financial needs.