Demo

Case Management Director

Princeton Health and Rehabilitation
Albuquerque, NM Full Time
POSTED ON 3/27/2025
AVAILABLE BEFORE 5/27/2025
Position Summary

The Director of Social Services is responsible for ensuring that the health-related psychosocial needs of the patients are met and maintained in accordance with policies and procedures and current federal, state and local standards, guidelines, regulations and Nursing practice.

Essential Duties & Responsibilities

1. Performs new patient functions.

2. Collects and records psychosocial assessments on patients as needed.

3. Assists patients and their families adjust to moving into the center.

4. Orients patients and their families to the center activities and services.

5. Participates in individualized patient care.

6. Encourages patient participation in wellness programs to include fitness and social activities.

7. Attends meetings with skilled nursing facility staff to identify patient and family needs in transitions to and from the center.

8. Mediates issues that arise between patients, families and staff.

9. Assists patients and families in finding and using financial, legal, mental health and center resources as needed.

10. Links patients with appropriate center resources for other needs such as transportation, equipment, home health care, etc.

11. Provides patients and families with crisis management services.

12. Coordinates visits by center mental health providers and makes referrals when necessary.

13. Coordinates speakers for lecture series and other presentations as needed.

14. Plans and implements individual, family and group services that focus on the enhancement of humanistic needs and social emotional skills.

15. Evaluates the effectiveness of programs and makes changes as needed.

16. Assists patients and families prepare for and cope with losses.

17. Provides Advanced Directive and Do Not Resuscitate information and forms.

18. Advocates for patients' rights.

19. Participates in in-service training of center staff.

20. Uses supplies and equipment in a safe, efficient and effective manner.

21. Adheres to the National Association of Social Workers' code of ethics.

22. Demonstrates knowledge of state and federal regulations.

23. Coordinates transfers to and from the center.

24. Works with nursing to develop a comprehensive discharge plan in collaboration with the patient, family, interdisciplinary staff and referral agencies.

25. Participates in orientation of new staff.

26. Recognizes conflict and impediments to the effective working relationships and takes positive action to seek help to resolve conflicts or impediments.

27. Collaborates with physicians, RN's, LPN's and the Center team to assist patients achieve their treatment outcome.

Competencies

  • Hosts and/or participates actively in meetings; makes meaningful contributions
  • Takes charge of people/events; assumes leadership in a positive way and treats all team members with fairness and respect
  • Provides clear, objective and timely feedback to employees
  • Creates enthusiasm for team effort; is an effective team builder; sets a model for teamwork that encourages common goals
  • Uses all available and appropriate resources, including team members
  • Interacts frequently with customers; takes initiative to inquire about customer needs and opinions and effectively manages concerns
  • Encourages and develops customer service skills in employees
  • Able to prioritize work. Sets realistic deadlines for self and others and ensures deadlines are met; delegates as needed
  • Presents ideas and information in a concise, well-organized manner
  • Manages as if it were his/her own business, keeps up to date with best practices and new developments. Makes informed decisions within the scope of responsibility
  • Sets precise, measurable goals that are realistic, challenging and compatible with company goals; demonstrates actions to meet those goals
  • Is progressive in outlook; initiates new approaches and ideas; offers creative and effective solutions
  • Receptive and open to new ideas; Empowers and supports employees to make decisions
  • Takes responsibility for his/her own training and development; follows up and integrates training when appropriate
  • Listens; concentrates on information presented; takes action
  • Observes early signs of changing conditions; responds effectively
  • Ensures new employees are fully trained on all aspects of the job
  • Identifies promotable employees and provides necessary training through application of the Develop Map Program
  • Ability to understand and manage budget within scope of job role

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