Social Worker

JOB TITLE: SOCIAL WORKER

JOB CODE: 44

DEPARTMENT: SOCIAL SERVICES & ACTIVITIES

FLSA STATUS: EXEMPT


REPORTS TO: ADMINISTRATOR

DATE OF LAST UPDATE: 02/28/2020

JOB SUMMARY: As a licensed Social Worker, we will rely on your knowledge of resources


available in the community as well as your experience and judgment to act as a primary referral


source to residents. You will interview, coordinate and refer residents to resources that have


been identified and promote activities that will help the resident and, when appropriate, their


families to meet their social and emotional needs. You must be familiar with standard concepts,


practices and procedures within the field.

ESSENTIAL FUNCTIONS:


? Meet with administration, medical and nursing staff and other related departments in


planning social services


? Advocate daily on behalf of all residents to ensure that their rights are maintained


? Report abuse, neglect or exploitation per state reporting guidelines


? Maintain professional working rapport with facility interdisciplinary team and community


resources/agencies


? Consistently abide by Social Work Code of Ethics and strive to represent Caraday


Healthcare by exhibiting professionalism and quality work


? Complete Social Service History and Social Service Evaluation with newly admitted


residents within 14 days


? Complete sections "B, C, D, E and Q" of MDS 3.0 as scheduled, including OBRA and


PPS assessments

? Work through CAA and care plan process for each MDS area triggered

? Coordinate meetings and patient needs in accordance with PASRR guidelines

? Educate, review, and assist residents in completing Advance Directives, Medical Power


of Attorney, and Out of Hospital Do Not Resuscitate documents


? Facilitate referrals to ancillary services including following up with the resident and their


responsible party, requesting/obtaining physician orders, and copying/faxing information


to the agency providing the service (Optometry, Audiological, Dental, Podiatry,


Counseling, Psychiatry, Psychological testing) on behalf of the residents


? Educate/communicate with residents and/or responsible parties about Palliative Care vs.


Hospice Care and assist in the referral/transition process of residents to end of life


services and end of life decision making


2

? Procure prior authorization numbers for residents with Medicaid who require ambulance


transportation to non-emergency medical appointments


? Assist with scheduling transportation for residents to medical appointments


? Prepare a Social Service review of the care plan as assigned and prior to each resident's


care conference to assess changes/areas of need


? Document interactions with residents and/or responsible parties that are reflective of


assessments performed, assistance provided and issue resolutions


? Discharge preparations with residents and/or responsible parties throughout stay in


facility to culminate all community services requested/required


? Discharge planning on behalf of residents including requesting/obtaining appropriate


physician orders, communication and follow up with community resources (Home Health


Agency, Equipment Company, Primary Care Physician, Hospice Agency, CBA Agency,


Transportation Agency, Meals on Wheels Agency, Support Groups etc.,), and copying


pertinent information from resident's chart to forward to agencies that require it in order


to bill for services. Preparation and review of Discharge Instructions for Care with the


resident and responsible party. Documentation of all discharge planning. Follow up with


resident and responsible party post discharge to ensure that resident's transition back


into the community was as seamless as possible


? Prepare care plans including Advance Directives, DNR, resident personal preferences,


and behavioral/psychosocial issues


? Facilitate resident room changes including five-day relocation notice, follow up with


resident, responsible party, roommate, physician and nursing, and documentation of


aforementioned processes

? Review resident's psychosocial wellbeing due to loss of a family member, friend, or


roommate


? Attend Resident Council meetings only if invited by the Council members and assist in


resolution of any issues presented


? Facilitate proper procedure on initiation/completion of Grievance Reports and assist in


maintaining the facility Monthly Grievance Log


? Attend Performance Improvement/Quality Assurance meetings and provide quarterly


information including all resident referrals made in last quarter, all behavioral issues


addressed/resolved in last quarter, and tracking and trending of grievances within the


facility during last quarter


? Attend Standards of Care meetings and follow up on any Social Work issues discussed


? Perform quarterly reviews of resident charts to ensure that assessments, documentation,


directives, and care planning are current, consistent, and appropriate

? Maintain knowledge of federal and state regulations for long-term care facilities


? Develop and maintain a good working rapport with intra-department personnel, other


departments within the facility, and outside community health, welfare, and social


agencies to ensure that social service programs can be properly maintained to meet the


needs of the patients/residents


? Keep up to date with current federal and state regulations as well as professional


standards, and make recommendations on changes in policies and procedures to the


department director or Administrator


? Understand and adhere to the guidelines of "Residents Rights" and assure resident


safety

Requirements

QUALIFICATIONS:

Required


? Bachelor's Degree in Social Work or a Human Services field including Sociology,


Gerontology, Special Education, Rehabilitation Counseling, and Psychology

? Current Social Worker license

? Must be a skilled communicator, director and motivator; able to organize and prioritize


many tasks effectively


? Able to react to emergency situations appropriately when required


Preferred


? 2 years of experience in a long term care, hospital or other related medical facility


PHYSICAL REQUIREMENTS:


? Ability to occasionally lift/carry 10+ pounds; visual acuity, speech and hearing; hand and


eye coordination and manual dexterity necessary to operate a computer keyboard and


basic office equipment.


? Subject to sitting, standing, reaching, walking, twisting and kneeling to perform the


essential functions.


WORK SCHEDULE: Monday through Friday 8-5.

WORK ENVIRONMENT: General Office


Caraday Healthcare provides equal employment opportunities (EEO) to all employees and


applicants for employment without regard to race, color, religion, sex, national origin, age,


disability, genetics, or any other characteristic protected by law.