Social Services Designee

Cura Health•Monticello, MN

About The Position

The Social Services Designee coordinates social services primarily for first-floor Transitional Care Unit (TCU) residents and provides support to long-term care (LTC) residents and facility-wide social services needs as assigned. The role serves as a primary resource for residents and families during admission, transition, and discharge planning, and supports resident-centered care and regulatory compliance. The position also develops knowledge of LTC social services requirements and MDS processes. The designee coordinates care conferences and assessments, completes admission documentation, assists with Medical Assistance (MA) paperwork and county coordination, supports advance care planning (ACP), advocates for residents, and communicates with the Long-Term Care Ombudsman as needed. The role requires attention to detail, organization, time management, follow-through, professionalism, and the ability to prioritize multiple deadlines. The designee represents Cura of Monticello to residents, families, referral sources, and community partners, providing a welcoming, supportive, and professional experience.

Requirements

Strong attention to detail, organization, and time management.
Strong follow-through and accountability for assigned tasks.
Ability to prioritize multiple deadlines and tasks based on regulatory deadlines, resident needs, discharge timelines, and facility operations.
Professionalism and the ability to provide a welcoming, supportive, and compassionate experience.
Clear and respectful communication skills, including during challenging conversations.
Ability to work collaboratively with residents, families, facility departments, county agencies, referral sources, and community partners.
Ability to maintain accurate, timely, and confidential resident records and protect personal and financial information.
Ability to accept direction, feedback, and training while growing in independence in the role.

Responsibilities

Coordinate social services for first-floor TCU residents from admission through discharge.
Complete required social services assessments, documentation, and follow-up within established timeframes.
Coordinate and facilitate resident care conferences with residents, families, and the interdisciplinary team (IDT).
Communicate resident needs, discharge goals, discharge barriers, and follow-up needs to appropriate team members.
Assist residents and families with transitions to home, assisted living, or other appropriate settings.
Identify barriers to safe discharge and coordinate resources to support successful transitions.
Maintain timely and accurate documentation of resident and family interactions, referrals, and follow-up activities.
Assist with social services components of admissions and ensure required paperwork is completed accurately and on time.
Explain facility processes to incoming residents and families, answer questions, and help them navigate available services.
Review admission documentation for completeness, accuracy, and appropriate signatures; follow up on missing information.
Coordinate with nursing, admissions, the business office, and other departments to support smooth admissions.
Assist residents and responsible parties with Medical Assistance applications, renewals, verifications, and supporting documentation as appropriate.
Communicate with county financial workers and representatives about applications, eligibility documentation, outstanding requests, and case status.
Track pending MA applications and follow up with residents, families, and county representatives to obtain required information or establish next steps.
Coordinate with the business office regarding financial assistance needs and outstanding items within the scope of the position.
Maintain organized records and protect confidential resident financial and personal information.
Track care conferences, assessments, admissions, MA applications, ACP documentation, and other assigned responsibilities.
Prioritize work according to regulatory deadlines, resident needs, discharge timelines, and facility operations; review work for accuracy, completeness, signatures, and timely submission.
Identify approaching deadlines, incomplete paperwork, and barriers; promptly notify leadership when a deadline may be missed or assistance is needed.
Maintain accurate, timely, and confidential resident records in accordance with facility policy and applicable requirements.
Represent the facility professionally, compassionately, and approachably; build positive relationships with residents, families, employees, referral sources, county agencies, and community partners.
Communicate clearly and respectfully, including during challenging conversations, and collaborate with nursing, admissions, the business office, activities, therapy, MDS, and other departments.
Take initiative, identify problems, work toward practical solutions, accept direction and feedback, and demonstrate continued growth and independence.
Communicate with the Long-Term Care Ombudsman as needed.
Support advance care planning and resident advocacy.