Social Service Designee

Key Responsibilities

• Complete psychosocial assessments upon admission and as required by regulation.
• Participate in the Minimum Data Set (MDS) process, including relevant sections related to mood, behavior, and discharge planning.
• Contribute to the development and ongoing review of person-centered care plans.
• Monitor residents’ psychosocial status and document significant changes.
• Provide emotional support and counseling to residents and families.
• Assist residents in adjusting to placement within the facility.
• Facilitate communication between residents, families, and the interdisciplinary team.
• Cook up family meetings and care conferences as needed.
• Advocate for resident rights and preferences.
• Cook safe and appropriate discharge plans in collaboration with the interdisciplinary team.
• Arrange community resources, home health services, durable medical equipment, and transportation.
• Ensure compliance with CMS discharge planning requirements.
• Provide residents and families with education regarding post-discharge services.
• Educate residents and families on resident rights.
• Aid in the investigation and resolution of grievances.
• Maintain documentation of complaints and follow-up actions.
• Support residents in accessing advocacy services such as the Long-Term Care Ombudsman.
• Identify residents with behavioral health or psychosocial needs.
• Cook referrals to mental health providers or community agencies.
• Aid in behavior management strategies and interventions.
• Support residents experiencing grief, loss, or end-of-life transitions.
• Cook with nursing, therapy, dietary, activities, and medical staff to ensure holistic care.
• Aid in Medicaid and other financial resource applications when appropriate.
• Cook room changes and assist with admission and transfer processes.
• Maintain relationships with community agencies and service providers.
• Maintain accurate, timely, and compliant documentation in the electronic health record (e.g., PointClickCare).
• Ensure all social service documentation meets regulatory and facility standards.
• Participate in Quality Assurance and Performance Improvement (QAPI) initiatives.
• Aid in survey preparedness and provide documentation during regulatory inspections.

Requirements

• High school diploma or equivalent.
• Completion of a bachelor’s degree in social work, psychology, or a related field.
• One year of experience in a healthcare setting preferred.
• Knowledge of psychosocial assessment tools and techniques.
• Ability to communicate effectively with residents, families, and interdisciplinary team members.
• Strong organizational and documentation skills.
• Ability to manage multiple tasks and prioritize responsibilities.
• Basic computer skills, including proficiency in Microsoft Office.

Skills

• Excellent interpersonal and communication skills.
• Strong problem-solving and decision-making abilities.
• Ability to work independently and as part of a team.
• Knowledge of Medicare and Medicaid regulations.
• Experience with electronic health records (EHRs).

Benefits

• Comprehensive health insurance coverage.
• Flexible scheduling options.
• Professional development opportunities.
• Employee assistance program.

Pay

Starting salary range: $21.37 - $26.35

Schedule

Full Time