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Job Overview

Plans, organizes, supervises and directs all administrative and operational activities of the Social Services Department in accordance with current federal, state, and local standards, guidelines and regulations, and the facility’s established policies and procedures.

 

Required Qualifications

• A minimum of a bachelor’s degree in social work, human services field, to include, but not limited to, sociology, gerontology, special education, rehabilitation counseling, or psychology, or medically related field.
• One year of supervised social work experience in a health care setting working directly with individuals.

 

Preferred Qualifications

• 1 year experience working in a skilled nursing facility.
• 1 year experience in social work in a skilled nursing facility.

 

Major Duties and Responsibilities

• The Social Services Director (SSD) is responsible for overseeing the development, implementation, supervision and ongoing evaluation of the Social Services Department designed to meet and assist residents in attaining or maintaining their highest practicable well-being. This includes identifying the need for medically related social services and ensuring that these services are provided in accordance with State and Federal regulations. 
• The SSD will actively engage with the facility’s interdisciplinary team and related department staff to fulfill the responsibilities of the Social Services Department.
• Conduct assigned resident assessments/evaluations including the completion of designated sections of the facility’s Minimum Data Set (MDS).
• Participate in developing and revising residents’ care plans.
• Work with residents/responsible parties to participate in the development of their care plans.
• Conduct and complete new resident admission evaluations.
• Be actively involved in the PASRR requirements, including tracking the pre-admission PASRR status, coordinating additional PASRR screens (i.e. Level II screens), and following up with the facility’s geri-psychiatrist.
• Participate, coordinate and assist residents with their discharge planning. This includes ordering recommended durable medical equipment (DME), coordinate post-discharge services (i.e. home health services, caregiver services, care coordination, physician follow-up visits, etc. as related to the needs of the discharge plan), coordinating transportation, coordinating caregiver support and services, and communication with resident representatives. 
• Communicate with the resident’s attending providers related to discharge timelines, resident’s status, updates in conditions, requesting necessary provider orders, and communicating resident’s requests and preferences.
• The SSD will coordinate implementation and oversight of procedures to ensure social services actions and interactions are adequately documented in each resident’s medical record, and that legal, ethical, and professional standards of social work practice and being upheld in written recordings.
• Assist residents and/or the resident representative in locating and accessing financial, legal, and other community resources (including assistance with benefit programs, care coordination enrollment, and completing Medicaid applications).
• The SSD is responsible for overseeing the establishment of departmental QA procedures and modification of those procedures where appropriate. Is an active member and participates in the facility’s QAPI programs, develops and implements performance improvement plans, and reports on the effectiveness.
• The SSD will oversee the process of Advance Care Planning for each resident upon admission, and make sure that any Advance Directives are reviewed with the resident/ resident representative on a regular basis. The Director will ensure that staff members are made aware of the resident’s code status and end-of-life wishes and will assist with informing and educating residents and their representatives about health care options and ramifications.  This includes ensuring compliance with the Advance Health Care Directives requirements and documentation.
• The SSD will assist residents in voicing and obtaining resolution to grievances. The Director will review complaints and grievances made by the resident and make a written report indicating what action(s) were taken to resolve the complaint or grievance. The Director will also gather grievance reports from other Social Services staff and ensure follow through and resolution has been completed as per facility policy.  The Director will track grievance trends and report findings as part of the facility’s QAPI program as requested.
• The SSD will participate in facility policy development to positively impact the quality of care delivered to residents.
• The SSD ensures that staff members are knowledgeable about Resident’s Rights and encourages staff to maintain and enhance each resident’s dignity in recognition of each resident’s individuality. The Director will also advocate for residents and assist them in assertion of their rights within the facility.  When there is an allegation of suspected abuse, neglect or exploitation, the Social Services Director will report to the Administrator and appropriate State agency, as well as will lead a thorough investigation into the allegation.
• Conduct resident mood and behavior evaluations, develop mood and behavioral care plans, coordinate the implementation of mood and behavioral interventions.
• The SSD will ensure that residents who display mental illness, or psychosocial difficulties such as coping with grief and loss, have access to appropriate treatment and resources.
• Participate and lead the facility’s psychotropic medication management program.
• The SSD will ensure that residents who display mental illness, or psychosocial difficulties such as coping with grief and loss, will have access to appropriate treatment and resources.
• Coordinate translator services to ensure communication with residents are in a language that is understood.
• Assist residents with procuring belongings and personnel items.
• Coordinate end-of-life care and support. Assist with hospice education, enrollment, and coordination.