Social Worker - Ashley

Pioneer-Health-Care-Management-; Elba Township (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

Pioneer Health Care Management is seeking a Social Worker in Ashley, MI for a full-time role. You will identify residents' social, emotional, and psychological needs and develop plans to help them reach their full potential during their stay.

You will educate patients and families on post-acute options and assist with discharge planning. Responsibilities include completing assessments within 3 days of admission, coordinating care conferences, updating care plans, and supporting the healthcare

Qualifications

• Licensed social worker
• 1 year of supervised social work experience in a health care setting working directly with individuals

Responsibilities

• Identify residents' social, emotional and psychological needs.
• Develop and implement care plans and discharge planning.
• Educate residents and families about post-acute options and issues of choice.
• Coordinate care with the interdisciplinary team for care conferences and related activities.

Skills

Empathy

Communication

Education

Licensed social worker

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Social Worker - Ashley Full Time Ashley, MI, US

2 days ago Requisition ID: 4204

Job Summary

• Identifying each resident's social, emotional and psychological needs
• Developing and carrying out a plan to develop the resident's full potential during their stay
• Educates patient/family regarding post-acute options and addresses issues of choice
• Assists team members with discharge planning activities

Core Responsibilities

• Complete and document Social Work and Psychosocial assessments for all residents within 3 days of their admission or readmission.
• Ensure 3877/78 forms are completed and accurate, upon admission and annually.
• Ensure all new admissions and readmissions have a scheduled 72 hour Resident Care Conference. Additionally, you will notify the IDT by email of date, time, resident and if family will be attending. This goes for quarterly and annual Resident Care Conferences as well.
• Complete MDS sections and the appropriate CAA's.
• Completes, reviews and updates Care Plans including, Psychosocial, Discharge Planning, Behavioral, Cognitive loss, mood, vision, hearing Podiatry, dental. Ensures diagnosis, and medications are accurately captured on the resident’s care plans.
• Monitor the behavior log book and follow up on any new or changed behaviors noted.
• Monitor high risk residents including but not limited to:
  • Psychiatric dx. And/or medications
  • Age 55 or under
  • Residents with communication barriers
• Attend the weekly Medicare Meeting
• Attend the monthly QAPI meeting and have all your data prepared to speak on. Remember to separate your lists into short and long-term residents.
• Coordinate care with the psych provider including medication management, medication consents, GDRs.
• Coordinate all ancillary services, Dental, Ophthalmology, and Audiology the resident may need or request with the input of the DON and/or Administrator.
• Educates residents & families related to Advanced Directives, completes the Advance Directive and Code Status form within 48 hours of admission.
• Greets Residents, families, etc, introduces self, and identifies purpose for visit
• Ensures daily visits and assessments x 3 days for any resident involved event including documentation.
• Documents all interactions with residents, families, Health Care Providers etc in the Medical Record.
• Demonstrates proficiency with EMR for facility.
• Handles problems of adjustment to the facility environment and maintains frequent contact with residents & families.
• As needed may be involved in in-service training of aides and staff related to resident rights and Social Services.
• Effectively and thoroughly answers patient and family questions
• If a hospice referral is indicated, coordinate care with the provider.
• Begins discharge planning for residents on admission & ongoing, working with all aspects of the interdisciplinary team to ensure an appropriate/safe resident discharge.
• Provide resident/family with written information about the resident rights related to discharge including the appeal process.
• Arranges DME & Home Care for residents at time of discharge.
• Establishes working relationships with community health, welfare and volunteer groups to promote cooperative assistance in meeting social needs of residents & families.
• Demonstrates kind, caring demeanor with resident, family and staff interactions.
• Other duties as requested

Minimum Qualifications

• Licensed social workerRequired
• 1 year of supervised social work experience in a health care setting working directly with individuals required