What are the responsibilities and job description for the Social Services/ Discharge Planner position at Eagle Rock Health and Rehabilitation of Cascadia?
Description:
The responsibility of the Social Services Manager is to act as an advocate for the residents. The Social Services Manager protects vulnerable residents and ensure that their best interest is observed an helps them to find remedies to their situation.
Note: All employees of Cascadia Healthcare are required to submit and be cleared to work in the facility per each
state’s specific background check requirements prior to contact with patients/residents.
Essential Functions
- Assesses the psychosocial status of patients related to the patient’s illness and environment and communicates findings to the registered nurse.
- Carries out social evaluations and plans person-centered intervention based on evaluation findings.
- Maintains clinical documentation on all patients referred to social work.
- Provides information and coordinates referral services for residents/patients and families/caregivers regarding resident’s/patient’s practical and environmental needs.
- Provides information to residents/patients or families/caregivers regarding community agencies and other available services.
- Serves as liaison between residents/patients or families/caregivers and community agencies.
- Maintains collaborative relationships with facility co-workers to support resident/patient care.
- Participates in the development of the total plan of care and case conferences for residents/patients referred to social services, as required.
- Assists physician and other team members in understanding significant social and emotional factors related to residents’/patients’ health problems.
- Establishes behavior monitoring and interventions to provide quality care to resident and reduce/alleviate necessity of medication use.
- Addresses resident behaviors to prevent harm to themselves or others.
- Actively participates in discharge planning and advises on issues relating to resident’s/patient’s practical and enviro mental needs post-discharge.
- Coordinates medication review regimen to determine gradual dose reduction to the lowest possible dose.
Knowledge/Skills/Abilities
- Demonstrates good verbal and written communication, and organization skills.
Licenses/Certification
- Must have a valid driver’s license.
Experience
- Experience in post-acute/ skilled nursing preferred.
