Position / Title: Clinical Social Worker
Department: Social Services
The Social Worker reports to the Director of Social Services (When applicable) or the Chief Administrative Officer and is responsible for compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures to enhance the quality of life of our residents by ensuring that the medically related emotional and social needs of the residents are met and maintained on an individual basis.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Perform Social Service admissions functions.
- Develop a comprehensive social history and psychosocial assessment that includes the resident’s problems, strengths and preferences, including cultural, religious, and ethnic background and implications for the care plan.
- Assist residents and their families (in the social, racial, ethnic, and cultural context) cope with the immediate effects of the decision to move to the facility.
- Orient residents and families to the facility, its services, its service limitations and residents’ rights.Participate in development of individualized resident care plans.
- Involve residents and families in care planning, encouraging their attendance at care conferences.
- Attend scheduled care conferences and identify and interpret psychosocial needs of residents for inclusion in the care plan, addressing in particular issues of schedule, treatment and environment that express and reinforce individuality and identity.
- Complete mandatory documentation within timelines established by applicable regulations.Facilitate the social and psychological well-being of residents and their families.
- Empower residents and encourage resident choice in matters affecting them, demonstrating receptive attitudes and sensitivity to choices based on racial, cultural, and ethnic heritage.
- Mediate issues that arise among residents, families, and staff.
- Ameliorate emotional distress of residents and families.
- Provide access to appropriate community resources by maintaining knowledge of other systems, making referrals, and identifying unmet needs (ex. Recreational transportation, adaptive phone equipment, etc.).
- Provide residents and families with crisis management services.
- Assist residents and families with financial questions and make appropriate referrals.
- Coordinate visits by facility mental health providers and make resident referrals.
- Assist endowment residents with managing financial concerns (mail, billing, Medical Assistance spend downs, prepaid funerals, etc.)
- Coordinate speakers and co-facilitate Family Council meetings.
- Help residents and families prepare for and cope with losses, including aging and death.
- Provide Advance Directive Information and forms.
Plan discharges/transfers to ensure appropriateness and continuity of care for transfers within and discharges from the facility.
- Develop a comprehensive discharge plan in collaboration with residents, residents’ families, multidisciplinary staff, and referral agencies which identifies resident needs and preferences.
- Maintain resident room change request list, track resident moves within facility and provide statistics to Quality Assurance Committee.
Train and involve the entire facility in meeting residents’ psychosocial needs.
- Implement and conduct a comprehensive Social Services orientation program for all new hires. The Orientation program for all employees must include a minimum of the following: Abuse Policy and Procedures, Residents Rights; Theft & Loss Policy and Procedures; Privacy/Dignity Training; Death and Dying; Proper Reporting Procedures: Behavior Management.
- Train and consult with staff regarding psychosocial needs that encompass social, ethnic, religious, and culture diversity of individual residents, the resident group as a whole and residents’ families to increase staff sensitivity.
- Advocate on a case, policy, and program level.
- Participate in policy decision making in a way that encompasses understanding of the issues and implications relevant to religious, ethnic, and cultural diversity as it affects resident life, resident care, and family involvement.
Timely and accurately record social services notes and documentation in an informative and description manner.
- Record all entries on notes, charts, etc. in an informative and descriptive manner.
- Use only authorized abbreviations established by the facility when recording information.
- Properly document all services and responses to services as mandated by applicable federal, state, and local standards, guidelines, and established policies and procedures.
- Assist in managing, planning and organizing the resident’s admission process to ensure a positive experience and smooth transition into the facility, as assigned.
- Compile pre-admission clinical information for prospective new residents and distribute to appropriate department managers.
- Evaluate prospective resident’s special needs and determine if their needs can be met with the facility’s clinical expertise in a cost effective manner.
- Alert appropriate department managers and facility staff of projected changes such as admissions, bed changes, and discharges.
- Participate in daily standup meetings to discuss forthcoming changes.
- Maintain a close working relationship with the Chief Administrative Officer, Director of Nursing, and Director of Financial Services to assure appropriate and efficient decisions regarding prospective admissions.
- Maintain, update and distribute a list of available beds by type on a daily basis.
- Monitor daily admissions systems including after hours and weekend systems to ensure efficient functioning.
- Coordinate and manage new bed availability to maximize occupancy.
- Follow-up with referral sources, family members and responsible parties concerning prospective new admissions.
- Monitor and analyze customer satisfaction including new admissions, post-discharges, current short-term stay patients, residents, family members, and community sources. Work with management team to develop action plans, as necessary.
- Assure admission procedures are following in accordance with established policies.
- Maintain open lines of communication with social workers, physicians, and discharge planners.
- Contact hospitals as needed to facilitate the return of residents to the facility.
Assist in preparing an annual operating budget for approval by the Chief Administrative Officer and allocate department resources to carry out department objectives within established budget.
- Assist in preparing and planning the Social Services Department’s budget for equipment, supplies and labor.
- Review and interpret monthly department financial statements and take appropriate corrective action in response to variances and trends in order to conform to the approved budget.
- Maintain current written records of department expenditures and assure that adequate financial records and cost reports are submitted as necessary.
DEGREE OF SUPERVISION:
The Social Worker reports to and receives general direction from the Director of Social Services (When applicable) or the Chief Administrative Officer.
- Must possess, as a minimum, a Bachelor’s Degree in social work or a bachelor’s degree in a human services field including but not limited to sociology, special education, rehabilitation, counseling and psychology which meets the requirements of the State.
- Must possess a working knowledge of the State Department of Health regulations and OBRA.
- Must possess the ability to deal tactfully with personnel, residents, and family members.
PHYSICAL AND MENTAL DEMANDS:
- Must be able to push, pull, move and/or lift a minimum of 30 pounds.
- Must be able to stand, bend, lift and move intermittently throughout the work day in office areas and throughout the facility.
- Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands.
- Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
- Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility.
Works in office areas, as well as throughout the facility. Works beyond normal duty hours, on weekends and holidays when necessary. Interacts with residents, family members, and staff under all conditions and circumstances. Is subject to hostile and emotionally upset residents and family members. May be exposed to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.