Social Worker/Care Coordinator

RESPONSIBILITIES

1. Case Load
   1. Able to organize and manage independently an assigned case load of residents, meeting all their necessary social work related needs.
   2. Appropriately prioritizes case load to assure needs are met

1. Documentation
   1. Maintains timely documentation for case load consistent with current policy and regulation, addressing all pertinent issues normally associated with social work scope.
   2. Completes all assessments, MDS, etc. in a timely manner

1. Interdisciplinary Care Team Member
   1. Participates in all IDC meetings for assigned case load
   2. Productively contributes to the care planning process, initiating care plans on admission, and as necessary
   3. Completes all evaluations of care plans and objectives as necessary, communicating with other team members as necessary
   4. Sends all appropriate communications to family members and residents regarding the scheduling of care conferences, and communicates pertinent issues to them following the conferences

1. Admissions/Discharge Planning
   1. Conducts facility tours as necessary for potential resident/families
   2. Assists, as requested, in the selection of candidates for admission
   3. Provides new admissions with pertinent information related to facility policies, resident rights, etc.
   4. Creates therapeutic atmosphere for resident and family

1. Resident Services
   1. Conducts admission and other assessments of residents on case load in a timely manner
   2. Establishes plan of care for social work services based on assessment
   3. Conducts individual and group counseling as part of plan of care
   4. Provides counseling to families and other involved parties as necessary, including education, support, and conflict resolution
   5. Establishes positive, professional relationships with residents, families, etc.
   6. Serves as liaison to the resident council, assisting in scheduled meetings, completing all minutes, and other responsibilities as necessary for the smooth and effective functioning of the council.
   7. Facilitates reminisce groups and other resident therapy groups as necessary

1. Respite
   1. Coordinates the dissemination of respite information, assisting in community education as necessary
   2. Conducts all required assessments and admission documentation for respite clients, as necessary
   3. Assures all respite discharge plans are established prior to admission

1. Medical Adult Day Care
   1. Provides professional social work services to day care registrants as necessary
   2. Provides individual and family counseling as necessary, assists in the coordination of community services whenever appropriate

1. Other
   1. Provides employee education programs on Resident Rights, Mandatory Abuse Reporting Law, Non-discrimination and Confidentiality (including HIPAA standards) as necessary and as directed.
   2. Consults with Director of Social Work and/or Administrator whenever necessary to review resident/family issues, conflicts, etc.
   3. Supports organizational philosophies and policies, communicates such to residents/families as necessary.

Qualifications: Bachelor's Degree from an accredited university in social work or health related field. Knowledge of community health resources, excellent written and oral communication skills, able to work independently and as a member of the interdisciplinary team, able to facilitate group discussions, demonstrates empathy and understanding of aging, death, and dying experience. Prior experience working with the senior population in a case management, counseling, or nursing home environment preferred but not required. Experience in rehabilitation and discharge planning is a plus. Must be able to sit, and stand for long periods throughout the day, able to lift and carry 10 pounds minimum. Must be able to provide social work/counseling services in professional manner while dealing with distraught or grieving family members.