Licensed Social Worker at Webster

Job Details Job Location: Focused Care at Webster - Webster, TX 77598 Focused Post Acute Care Partners FPACP is a dynamic company with an expectation of excellence in the delivery of long‑term care to every patient every day. We are looking for a Social Worker to join our great team! Position Summary As a licensed Social Worker, you will use your knowledge of community resources and your experience and judgment to act as a primary referral source to members. You will interview, coordinate, and refer members to resources and promote activities that help meet their social and emotional needs and, when appropriate, support their families. You must be familiar with standard concepts, practices, and procedures within the field. Qualifications Bachelor's Degree in Social Work or a Human Services field including Sociology, Gerontology, Special Education, Rehabilitation Counseling, and Psychology. Must be a licensed Social Worker in the state of Texas or obtain license within 6 months of hire. Prefer two (2) years of experience in long‑term care, hospital, or other related medical facilities. Able to react to emergency situations appropriately when required. Essential Functions Meet with administration, medical and nursing staff, and other related departments to plan 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 the facility interdisciplinary team and community resources/agencies. 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 on days 5, 14, 30, 60, 90, annually, upon change of condition, and upon resident readmission from hospitalization. Educate, review and assist residents in completing Advance Directives, Medical Power of Attorney, Out of Hospital Do Not Resuscitate documents. Facilitate referrals to ancillary services, follow up with the resident and their responsible party, request/obtain physician orders, copy and fax 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 decision making. 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 Evaluation prior to each resident's care plan to assess changes or areas of need since their last care plan. Document interactions with residents and/or responsible parties that are reflective of assessments performed, assistance provided, and issue resolution. Discharge preparations with residents and/or responsible parties throughout stay in facility to culminate all community services requested or required. Prepare care plans including: Advance Directives, DNR, resident personal preferences, behavioral/psychosocial issues. Facilitate resident room changes including five‑day relocation notice, follow‑up with resident, responsible party, roommate, physician, and nursing, and document the process. 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 and provide quarterly information for Performance Improvement / Quality Assurance meetings including all resident referrals made in the last quarter, all behavioral issues addressed or resolved in the last quarter, tracking and trending of grievances during the last quarter. Perform bi‑annual reviews of all resident charts to ensure that assessments, documentation, directives, and care planning are current, consistent, and appropriately placed in the chart. 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 social service programs can be properly maintained to meet the needs of the patients and 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. Physical Requirements Have the ability to safely perform movements such as pushing, pulling, lifting, bending, kneeling, reaching and lifting up to 50 pounds with or without reasonable accommodations. Work Schedule As assigned, including some weekends, evenings and holidays; non‑exempt position. EEO Statement AA/EEO/M/F/D/V Benefits Excellent compensation, 6 holidays, life insurance, short‑term and long‑term disability, health plans, vision, dental, generous PTO, and much more. #J-18808-Ljbffr Focused Post Acute Care Partners