What are the responsibilities and job description for the Social Services Director position at Ivy Hill Post Acute Nursing and Rehabilitation?
Ivy Hill Post Acute Nursing and Rehabilitation -
Key Responsibilities :
- Resident Assessments and Care Planning :
- Conduct initial and ongoing assessments of residents' emotional, social, and psychological needs.
- Collaborate with the interdisciplinary team to develop, review, and update individualized care plans.
- Advocate for resident preferences and ensure that their care needs are being met in accordance with their rights and personal wishes.
- Counseling and Emotional Support :
- Provide individual and group counseling to residents coping with issues such as adjustment to nursing home life, loss of independence, or chronic illness.
- Offer emotional support to families, including assisting with grief, end-of-life planning, and facilitating difficult conversations regarding care decisions.
- Crisis Intervention :
- Respond to residents or families in crisis, offering immediate support and connecting them with appropriate resources.
- Provide mediation and conflict resolution services, particularly when there are disputes between families, residents, and staff.
- Discharge Planning :
- Work with the healthcare team to develop comprehensive discharge plans for residents, ensuring they are transitioned smoothly to home care, rehabilitation centers, or other appropriate settings.
- Coordinate with external service providers, such as home health agencies, to facilitate continuity of care
- Documentation and Compliance :
- Maintain accurate and up-to-date records in accordance with regulatory requirements and facility policies.
- Complete required assessments, progress notes, and discharge reports in a timely and professional manner.
- Advocacy and Resource Coordination :
- Serve as a liaison between residents, families, and external resources (e.g., community organizations, legal services, and financial advisors).
- Assist with applying for financial assistance programs, including Medicaid, Social Security, and other entitlements.
- Ensure residents and their families are aware of available services, including recreational, spiritual, and community resources.
- Support advance care planning and ensure that residents’ end-of-life wishes are documented and respected.
Social Worker requirements :
IND123
