Social Worker

Catholic Health Services•North Miami, FL

48d•Onsite

About The Position

The Social Worker coordinates discharge planning for residents and helps manage their healthcare and psychosocial needs by acting as a liaison between them and the physicians / nurses as related to their progress and status while in the facility. The Social Worker also assists residents in getting access to community resources and programs.

Requirements

MSW, BSW or Bachelor’s Degree in a Human Services field including but not limited to Sociality, Special Education, Rehabilitation Counseling, and Psychology
1 year of supervised Social Work experience in a healthcare setting
CPR Certification
Must have knowledge of computer office/clinical software
Must be able to read, write and understand the English language

Responsibilities

Interviews new admissions to complete Psychosocial History and Verifies demographic information on face sheet within 3 days of admission (72 hours).
Provides education to resident and/or family regarding Resident Rights, Advance Directives, community resources, insurance coverage, appeal rights, grievance and abuse program and documents in clinical software.
Enter and/or update all Advance Directives on face sheet and identify need for a Guardian.
Attends Care Plan meeting with interdisciplinary team to discuss plan of care.
Conducts family conference meetings as needed.
Initiates discharge instruction sheet and completes assigned areas.
Discharge planning to the community with but not limited to home health, durable medical equipment, outpatient services referrals, Long Term Care, Assisted Living Facility and Skilled Nursing Facility if applicable.
Coordinates and obtains authorization from insurance company for all procedures, appointments and transportation as needed if applicable.
Provides Notice of Medicare Non-Coverage to resident and/or responsible party and obtains signature 48 hours prior to discharge if applicable.
Follows appeal process and ensures all documentation is submitted in a timely manner to assigned agency if applicable.
Documents resident progress notes in the Medical Record as needed.
Participates in daily management team meetings to discuss resident status, census changes, and resident complaints or concerns if applicable.
Obtains timely insurance re-certifications and provides weekly updates verbal/written for continued stay authorization and enters into billing software if applicable.
Coordinates efforts regarding any abuse allegations while adhering to the Abuse policy in collaboration with Administrator, Risk Manager and interdisciplinary team.
Adhere to Grievance policy which includes an updated log and investigative documentation if applicable.
Complete progress notes/assessments - quarterly, annually and when significant changes occur if applicable.
Complete Resident Assessment Instrument process which includes MDS, CAA and individualized Care Plans if applicable.
Provide residents/responsible party with Care Plan invitations if applicable.
Provides counseling to resident and/or family.
Completes enrollment for Medicare programs for qualified residents if applicable.
Ensure Pre Admission Screening and Resident Review (PASRR) is appropriately completed.
Ensures proper room change policy is followed in collaboration with Nursing and Admissions departments if applicable.
Ensures Social Services Department is prepared for inspections/surveys.
Provides facility staff education on Resident Rights, Grievance policy and Abuse policy annually and/or as needed.
Promotes positive employee engagement, teamwork, and mutual respect and safety work practices.
Maintain mandatory skill updates.
Comply with all policies, local, state and federal laws and regulations.
Perform other duties as assigned.