Social Worker / Discharge Planner

Senior Care Network is a comprehensive senior care management organization providing extensive services to senior’s and their families. The Social Worker/Discharge Planner will assess the client, identify what services are needed, coordinate referrals and follow-up to ensure the client’s needs continue to be met. In this roll you will also assist and perform social work and discharge planning responsibilities for residents. Experience working with the elderly is a requirement. Responsibilities Provide supportive services to Senior’s and their families/caregivers Attend court hearings, and assist in filing guardianships and conservatorships Conduct a thorough assessment of the client and their living situation - determine the need for therapeutic, medical, psycho-social and psychiatric evaluations Obtain required information from PCP or other providers (prescriptions, home health care orders, medical records, therapist notes etc…) Send referrals to appropriate agencies (private duty, DME, home health care, etc..) to coordinate needs Follow up with client to ensure referrals went as planned Identify the need for an alternative living situation Coordinate a transition to senior housing (independent living, assisted living or nursing home) Identify any financial barriers and assist with connecting client with programs that may assist (Medicaid, VA, AAA) Continue to act as an ongoing care manager as their needs changeMeet budget by monitoring expenses and implementing cost‑saving actions Improves treatment results #J-18808-Ljbffr Homestead Healthcare