Social Service Assistant - Case Management

Shift: Days

Hours: 9a-5:30p

Job Type: Full Time

Schedule: Monday through Friday

Plans, organizes, and implements social work services for patients and families. Coordinates discharge planning services.

Key Result Areas

Quality

• The employee demonstrates accuracy, and reliability, and assumes responsibility for the quality of work performed.
• Follows District rules and regulations maintaining appropriate licensure, certification, and authorization required for employment.
• Follows all infection control regulations and uses standard precautions appropriately.
• Uses proper body mechanics and safety equipment. Performs duties in a safe manner.
• Follows all safety, fire and disaster regulations. Is knowledgeable about hazardous materials and Material Safety Data Sheets (MSDS) for chemicals used in the work area.
• Reports safety hazards and injuries immediately to supervisor.

People

• The employee works with the social service director and requests assistance/direction when needed.
• Assumes responsibility for a clear and orderly work area.
• Dresses appropriately for work assignment as per dress code.

Economics

• The employee makes good use of time and resources, and completes works assignments.
• Appropriately and consistently uses the time keeping system and completes corrections in a timely manner.
• Performs work in a cost efficient method. Uses District resources appropriately.
• Meets or exceeds District rules on attendance and tardiness.

Service

• The employee meets or exceeds customer service expectations.
• Our organization’s expectation is that all staff act in a way that promotes a positive patient experience. We are committed to treating each of our patients, and their families, as if they were our own family members. Every team member will adopt AIDET as the framework for standard communication and will escalate any issues they cannot resolve themselves.

Innovation

• The employee pursues appropriate training opportunities to lean job related skills, policies and procedures.

Primary Duties

Resident Assessment and Care Planning

• Complete psychosocial assessments upon admission and as required thereafter.
• Participate in comprehensive resident assessments, including Minimum Data Set (MDS) processes as assigned.
• Identify psychosocial, emotional, behavioral, and environmental needs of residents.
• Develop, implement, and monitor individualized social service interventions.
• Document resident progress and interventions in accordance with regulatory requirements.
• Coordination and facilitation of ancillary services for optometry, podiatry, dental. Coordinating outpatient referrals and appointments.

Resident and Family Support

• Provide counseling, support, and crisis intervention to residents and families.
• Assist residents in adjusting to placement in the facility.
• Facilitate family conferences as needed.
• Educate residents and families regarding available resources and services.
• Address concerns, grievances, and complaints in accordance with facility policy.
• Promote resident rights and advocate for resident preferences and choices.

Discharge Planning

• Coordinate discharge-planning beginning at admission.
• Assess resident discharge needs and barriers.
• Collaborate with physicians, nursing staff, therapy staff, residents, and families regarding discharge goals.
• Arrange community resources, equipment, transportation, and post-discharge services.
• Ensure discharge documentation is completed timely and accurately.
• Conduct post-discharge follow-up when required.

Resident Rights and Advocacy

• Promote and protect resident rights in accordance with federal and state regulations.
• Assist residents in accessing ombudsman services and advocacy resources.
• Investigate and document resident grievances.
• Participate in abuse prevention and reporting activities.
• Support resident councils and encourage resident participation.

Psychosocial and Behavioral Support

• Monitor residents for psychosocial changes and emotional distress.
• Assist with behavioral interventions and non-pharmacological approaches.
• Collaborate with nursing and psychiatric providers regarding behavioral health concerns.
• Provide support during significant life events, illness progression, and end-of-life care.

Regulatory Compliance

• Maintain compliance with:
• OBRA regulations
• MS Requirements of Participation
• California Department of Public Health (CDPH) regulations
• California Health and Safety Code requirements
• Maintain accurate, timely, and complete documentation.
• Participate in surveys, audits, and quality improvement activities.

Interdisciplinary Team Participation

• Attend care conferences, utilization reviews, and interdisciplinary meetings as assigned.
• Collaborate with nursing, rehabilitation, dietary, activities, admissions, and administration departments as assigned
• Participate in Quality Assurance and Performance Improvement (QAPI) activities as assigned.

Position Specifications

Physical demands

• Ability to sit, stand, walk, bend, and reach throughout the workday.
• Ability to move throughout the facility.
• Ability to communicate effectively with residents, families, and staff.
• Ability to lift up to 25 pounds occasionally.

Working Conditions

• May be exposed to infections and contagious diseases. Contact with patients under wide variety of circumstances. May be exposed to/occasionally exposed to patient elements.

Minimum Education/Certification/Experience

• High School or equivalent
• Recognized Designee Course Certificate

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