Social Services - Part Time

LionStone Healthcare•Toledo, OH

6d•$25 - $30•Onsite

About The Position

The Social Services / MDS supports the Social Services and MDS Departments ensuring accurate and timely assessments of residents in a long-term care facility, which helps determine care plans and reimbursement levels. This role requires strong clinical skills, attention to detail, helping residents and their families address psychosocial, emotional, and practical concerns, as well as assisting with discharge planning, community resource referrals, care coordination and the ability to collaborate effectively with the interdisciplinary care team to provide the highest quality of care for residents. The Social Services / MDS Assistant works closely with the Social Services Director, MDS Director, and Director of Nursing as well as other healthcare professionals, and residents to ensure that residents' overall well-being and quality of life are maintained. Key Responsibilities: Resident and Family Support: Assist residents and their families with emotional, social, and practical concerns, providing guidance and support as needed. Help residents adjust to the facility and assist with personal and social issues related to their care. Conduct interviews with residents and families to assess their needs, preferences, and concerns. Offer referrals to community resources, such as counseling services, support groups, and financial assistance programs. Coordinate the completion and submission of accurate and timely MDS assessments for all residents in accordance with regulatory requirements. Ensure that all assessments reflect the current clinical status of residents, following established timelines for initial, quarterly, annual, and significant change MDS assessments. Review and validate MDS data for accuracy and completeness before submission to the appropriate authorities. Care Planning: Collaborate with the interdisciplinary team, including nursing, therapy, dietary, and social services, to develop and implement individualized care plans based on MDS assessments. Participate in care plan meetings to review and update resident care plans as needed. Ensure that care plans address resident needs and goals and are updated regularly to reflect changes in condition. Discharge Planning: Assist in developing discharge plans for residents returning to the community or transitioning to other care settings. Work with the interdisciplinary care team to ensure that discharge plans include appropriate home care, medical equipment, and community resources. Help arrange transportation, home care services, and follow-up appointments as part of the discharge planning process. Documentation and Record Keeping: Maintain accurate and confidential records of resident interactions, assessments, care plans, and services provided. Document all activities in the electronic health record (EHR) system, ensuring compliance with facility policies and regulations. Assist in completing required documentation for government programs, financial assistance, or insurance applications as needed. Resident Rights and Advocacy: Support residents in understanding their rights and responsibilities while living in the facility. Advocate for residents who may be experiencing difficulties with care, communication, or other concerns. Ensure that residents’ dignity and autonomy are respected, helping to resolve any issues that arise. Social and Recreational Activities: Assist the Social Services Director in organizing and coordinating social, recreational, and therapeutic activities for residents. Encourage resident participation in activities that promote emotional well-being and social interaction. Collaboration and Communication: Communicate regularly with residents, families, and the care team to keep them informed about care plans, progress, and any updates or changes. Attend care conferences, team meetings, and other discussions regarding resident care and services. Provide emotional support and crisis intervention services when needed. Interdisciplinary Collaboration: Collaborate with the nursing and therapy staff to gather accurate data for MDS assessments and ensure that resident care needs are met. Participate in interdisciplinary team meetings to discuss resident progress, care plans, and outcomes. Work closely with the billing and finance departments to ensure that MDS data is used appropriately for Medicare/Medicaid reimbursement

Requirements

Minimum Graduate of an accredited LPN program.
Active and unrestricted Licensed Practical Nurse (LPN) license.
Minimum of 2-3 years of clinical nursing experience, with at least 1 year in long-term care or a similar setting.
Experience with MDS assessments is required.
Strong organizational and documentation skills.
Ability to work well as part of an interdisciplinary team.
Strong clinical assessment and documentation skills.
Knowledge of MDS 3.0, RAI process, and federal/state regulations regarding MDS and care planning.
Strong communication and interpersonal skills, with the ability to work effectively with residents, families, and the interdisciplinary team.
Proficiency in electronic health records (EHR) systems (PCC preferred) and MDS software.

Nice To Haves

Knowledge of community resources and social services available to seniors and individuals with disabilities is a plus.

Responsibilities

Assist residents and their families with emotional, social, and practical concerns, providing guidance and support as needed.
Help residents adjust to the facility and assist with personal and social issues related to their care.
Conduct interviews with residents and families to assess their needs, preferences, and concerns.
Offer referrals to community resources, such as counseling services, support groups, and financial assistance programs.
Coordinate the completion and submission of accurate and timely MDS assessments for all residents in accordance with regulatory requirements.
Ensure that all assessments reflect the current clinical status of residents, following established timelines for initial, quarterly, annual, and significant change MDS assessments.
Review and validate MDS data for accuracy and completeness before submission to the appropriate authorities.
Collaborate with the interdisciplinary team, including nursing, therapy, dietary, and social services, to develop and implement individualized care plans based on MDS assessments.
Participate in care plan meetings to review and update resident care plans as needed.
Ensure that care plans address resident needs and goals and are updated regularly to reflect changes in condition.
Assist in developing discharge plans for residents returning to the community or transitioning to other care settings.
Work with the interdisciplinary care team to ensure that discharge plans include appropriate home care, medical equipment, and community resources.
Help arrange transportation, home care services, and follow-up appointments as part of the discharge planning process.
Maintain accurate and confidential records of resident interactions, assessments, care plans, and services provided.
Document all activities in the electronic health record (EHR) system, ensuring compliance with facility policies and regulations.
Assist in completing required documentation for government programs, financial assistance, or insurance applications as needed.
Support residents in understanding their rights and responsibilities while living in the facility.
Advocate for residents who may be experiencing difficulties with care, communication, or other concerns.
Ensure that residents’ dignity and autonomy are respected, helping to resolve any issues that arise.
Assist the Social Services Director in organizing and coordinating social, recreational, and therapeutic activities for residents.
Encourage resident participation in activities that promote emotional well-being and social interaction.
Communicate regularly with residents, families, and the care team to keep them informed about care plans, progress, and any updates or changes.
Attend care conferences, team meetings, and other discussions regarding resident care and services.
Provide emotional support and crisis intervention services when needed.
Collaborate with the nursing and therapy staff to gather accurate data for MDS assessments and ensure that resident care needs are met.
Participate in interdisciplinary team meetings to discuss resident progress, care plans, and outcomes.
Work closely with the billing and finance departments to ensure that MDS data is used appropriately for Medicare/Medicaid reimbursement