Prestige Care and Rehabilitation - Pinewood Terrace
Social Services Coordinator
Prestige Care and Rehabilitation - Pinewood Terrace, Portland, Oregon, United States, 97204
POSITION SUMMARY
The Social Services Coordinator partners with the Social Services Director to coordinate the social services program in a skilled nursing center to assure that the medically related emotional and social needs of the resident are met and maintained in accordance with all applicable laws, regulations, and Prestige Care standards.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Meets with new admissions to document the resident's psychosocial history and identify the current psychosocial needs as directed by the Social Services Director.
Assists in completing comprehensive psychosocial care plans for each resident and ensures completion within the required timeframe and updated quarterly and as needed.
Collaborates with the Social Services Director, leadership team, the resident and/or resident’s representatives, and physician to determine discharge plans. Communicates regularly with all parties regarding the plan and encourages resident and/or resident’s representative participation in all steps of the planning and discharge process.
Coordinates home health, hospice, and support services, including making referrals and obtaining services from outside agencies as needed.
Arranges ancillary services including but not limited to dental, ophthalmology, and audiology services. May be required to coordinate appointments for such services and arrange transportation.
Completes and issues Notice of Medicare Non-Coverage (NOMNC) and Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) as applicable.
Completes assigned sections on the MDS and participates in the coordination of Medicaid services.
Documents care plan and services provided in the resident’s record in accordance with state and federal regulatory requirements and Prestige policies. Ensures that all entries are accurate, timely, and descriptive of the services provided.
Acts as a resident advocate by ensuring that services are provided in the resident’s best interest and educates on residents’ rights.
Assists the grievance officer and supports the center’s grievance process.
Assists residents in accessing mental health services and other community resources.
Arranges and obtains needed durable medical equipment, clothing, and personal items for residents.
Conducts and assists in coordinating resident and family support groups including the development of programs for special needs residents.
Manages behavioral health services including tracking, meetings, care planning, care and services. Coordinates and updates Behaviors Monitors for residents as required.
Partners with the clinical team in training staff on resident’s behaviors and appropriate behavioral interventions.
Attends meetings such as Stand-up, Managing Acute Care Conditions (MACC), Quality Assurance Performance Improvement (QAPI) and other meetings as required.
Performs other duties as assigned.
COMPANY WIDE RESPONSIBILITIES
Demonstrates Core Values of Respect, Integrity, Commitment and Trust.
Supports a dignified and caring atmosphere with residents, residents’ families, visitors and staff.
Protects privacy and confidentiality of information pertaining to residents, employees, the facility, and company information and records.
Maintains a safe and secure working environment and practices safe working habits.
QUALIFICATIONS AND EXPERIENCE
One year experience working in skilled nursing or similar health care setting or ability to demonstrate equivalent knowledge and skills.
EDUCATION
Associates Degree or equivalent knowledge and skills obtained through a combination of education, training, and experience.
#J-18808-Ljbffr
The Social Services Coordinator partners with the Social Services Director to coordinate the social services program in a skilled nursing center to assure that the medically related emotional and social needs of the resident are met and maintained in accordance with all applicable laws, regulations, and Prestige Care standards.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Meets with new admissions to document the resident's psychosocial history and identify the current psychosocial needs as directed by the Social Services Director.
Assists in completing comprehensive psychosocial care plans for each resident and ensures completion within the required timeframe and updated quarterly and as needed.
Collaborates with the Social Services Director, leadership team, the resident and/or resident’s representatives, and physician to determine discharge plans. Communicates regularly with all parties regarding the plan and encourages resident and/or resident’s representative participation in all steps of the planning and discharge process.
Coordinates home health, hospice, and support services, including making referrals and obtaining services from outside agencies as needed.
Arranges ancillary services including but not limited to dental, ophthalmology, and audiology services. May be required to coordinate appointments for such services and arrange transportation.
Completes and issues Notice of Medicare Non-Coverage (NOMNC) and Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) as applicable.
Completes assigned sections on the MDS and participates in the coordination of Medicaid services.
Documents care plan and services provided in the resident’s record in accordance with state and federal regulatory requirements and Prestige policies. Ensures that all entries are accurate, timely, and descriptive of the services provided.
Acts as a resident advocate by ensuring that services are provided in the resident’s best interest and educates on residents’ rights.
Assists the grievance officer and supports the center’s grievance process.
Assists residents in accessing mental health services and other community resources.
Arranges and obtains needed durable medical equipment, clothing, and personal items for residents.
Conducts and assists in coordinating resident and family support groups including the development of programs for special needs residents.
Manages behavioral health services including tracking, meetings, care planning, care and services. Coordinates and updates Behaviors Monitors for residents as required.
Partners with the clinical team in training staff on resident’s behaviors and appropriate behavioral interventions.
Attends meetings such as Stand-up, Managing Acute Care Conditions (MACC), Quality Assurance Performance Improvement (QAPI) and other meetings as required.
Performs other duties as assigned.
COMPANY WIDE RESPONSIBILITIES
Demonstrates Core Values of Respect, Integrity, Commitment and Trust.
Supports a dignified and caring atmosphere with residents, residents’ families, visitors and staff.
Protects privacy and confidentiality of information pertaining to residents, employees, the facility, and company information and records.
Maintains a safe and secure working environment and practices safe working habits.
QUALIFICATIONS AND EXPERIENCE
One year experience working in skilled nursing or similar health care setting or ability to demonstrate equivalent knowledge and skills.
EDUCATION
Associates Degree or equivalent knowledge and skills obtained through a combination of education, training, and experience.
#J-18808-Ljbffr