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ESSENTIAL FUNCTIONS/RESPONSIBILITIES:
§ Uses all information sources available, assesses participants’ psychosocial health status and social work needs.
§ Completes assessments at admission and for required care planning according to regulatory requirements and as condition change indicates.
§ Determines participant and family needs related to social support, financial support, counseling and housing.
§ Confers with participant and family to identify participant goals and expectations
§ Coordinates with the Interdisciplinary Team to develop a comprehensive care plan for each participant.
§ In cooperation with the Interdisciplinary Team, plans and performs psychosocial interventions designed to keep the participant in the community and enhance quality of life to the greatest extent possible.
§ Assists in the completion of participants’ healthcare wishes and advance directives in cooperation with their primary care physician and/or nurse practitioner, the participant and family.
§ Provides discharge planning in the event of disenrollment.
§ Acts as participant advocate and liaison between participant and various governmental and private agencies in order to maximize the participant’s support network and obtain needed services:
§ Facilitates communication between participant and various government programs such as Medicaid, SSI, Medicare and Social Security
§ Reviews Medicaid eligibility, monitors time frame for recertification
§ Facilitates Medicaid applications for certification and recertification in conjunction with Medicaid Eligibility Specialist
§ Participates in interagency meetings as needed and assists participants in obtaining housing and eligibility for low-income housing options.
§ Evaluates need for and assists with the set-up of money management systems for participants who require assistance.
§ Keeps up-to-date on changing rules and regulations regarding Medicaid and Medicare eligibility and other entitlement programs and services.
§ Acts as participants’ advocate and liaison between participant, family and Care Team:
§ Facilitates communication between participant, family and Care Team to maximize or maintain participant support systems.
§ Facilitates or participates in family meetings as required
§ Facilitates the Participant Council to create and maintain a vehicle for dialogue between participants and the Care Team, and to empower participant responsibility.
§ Conducts family support groups, education or training sessions, and routine family caregiver meetings for education, support and dialogue.
§ Works with Executive Director to provide orientation and in-service programs for Care Team to enhance staff understanding of psychosocial issues and to meet regulatory requirements and support performance improvement.
§ Coordinates with mental health-related providers, including drug and alcohol treatment, to arrange appointments and share pertinent information.
§ Participates in surveys and inspections made by authorized government agencies.
Specified Duties:
§ Serves on, participates in, and attends meetings of various teams and/or committees, as required and appointed by the Executive Director.
§ Provides written and/or oral reports of the social services programs and activities, as required or may be directed by such committees.
§ Evaluates and implements recommendations from established committees as they may pertain to social services.
§ Performs administrative requirements, such as completing necessary forms, reports, etc., and submits such to Executive Director as required.
§ Makes written and oral reports/recommendations to the Executive Director concerning the operation of the Social Services Department.
§ Reviews departmental complaints and grievances from participants and makes written reports to the Program Manager of action(s) taken.
§ Assists the Quality Improvement Committee in developing and implementing appropriate plans of action to correct identified deficiencies.
§ Assures that all progress notes charted are informative and descriptive of the services provided and of the participant’s response to the service.
§ Maintains a reference library of written material, laws, etc., necessary for complying with current standards and regulations that will provide assistance in maintaining quality social service.
§ Meets with administration, medical and nursing staff, as well as other related departments in planning social service programs and activities.
§ Maintains an excellent working relationship with other department supervisors and coordinates social services to assure that daily social services can be performed without interruption.
QUALIFICATIONS AND EDUCATION REQUIREMENTS
Education:
§ Master’s degree in Social Work required
Credentials/Licensure Required:
§ Current Social Work license in Arkansas
Experience:
§ Three-years experience in long-term care or home care/geriatric setting
§ Proficiency with Word, Excel, Outlook, and electronic health records strongly preferred.
Age of Patients Rendered Care:
§ Adult and geriatric patients
ADDITIONAL NOTES
§ Must possess a valid driver's license.
§ Must be willing to travel occasionally
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