Social Service Care Coordinator

Community First Solutions•Hamilton, OH

17h•Onsite

About The Position

The Social Service Care Coordinator monitors, evaluates and coordinates a safe transition to home. Coordinates the services to meet patients’ health needs to ensure cost-effective, quality outcomes in a fast paced short term rehabilitation and long term care environment. Completes all necessary paperwork to meet State and Federal regulatory standards. This position provides social and emotional support to residents during their stay in the facility.

Requirements

Associate’s Degree required
LPN or LSW
Minimum of two (2) years professional experience in the health related field as a social worker or nurse
Demonstrate familiarity with hospital and skilled nursing admission and discharge processes
Understand healthcare operations and legal guidelines
Excellent verbal, written, interpersonal and organizational skills
Excellent organization and time management skills
Excellent attention to detail
Strong customer service orientation
Friendly, approachable, calm demeanor
Ability to maintain a flexible work schedule, including some evenings and weekends
Ability to collaborate and develop strong relationships with other health care providers, suppliers, coworkers, and customers
Ability to maintain patient confidentiality
Ability to work in an environment of changing demands and frequent interruptions
Intermediate experience with Microsoft Office products (Word, Excel, and Outlook) required
Must have a valid driver’s license

Nice To Haves

Bachelor’s Degree preferred
experience in case management/discharge planning with a hospital or skilled nursing, preferred
knowledge of Point Click Care preferred

Responsibilities

Manages the care coordination process for each patient from admission to discharge.
Swiftly acclimate patient and family to facility and establishes positive relationship with excellent Customer Service.
Plans and arranges for a successful patient safe transition to home thus reducing risk for readmission.
Communication with physicians, surgeons, therapists, patients, families, medical team coworkers, hospital discharge planners, home health admissions expected.
Accountable for leading and facilitating the weekly IDT (interdisciplinary team) utilization review meeting. Leads the discussion in strategizing discharge dates/times.
Assesses and communicates to ensure care team and patient, patient family aware of goals & plans for patient.
Completes a social service assessment upon admission and completes social service MDS sections with CAAs. Able to create an effective Care Plan for the patient.
Assists and directs patients & their families to appropriate resources when personal issues develop.
Guides patients/family designee to apply for financial assistance as needed ie: Medicaid, VA benefits, etc.
Cross market within the organization and the understanding of all the services Community First Solutions has to offer the patient.
All other duties as assigned and/or appropriate to the position.