Team Lead Social Worker HM-SG

Christian Health Care Center•Wyckoff, NJ

12d•Onsite

About The Position

Christian Health is seeking a full-time Team Lead Social Worker for its Social Services department. The role provides concrete social casework services to residents and their families, including individual, group, and family supportive and educational counseling. The Team Lead collaborates with the Director of Social Work to oversee social work practices and leads the social work staff in the Director’s absence to ensure daily operations. The role serves adult residents ages 19–64 and geriatric residents ages 65 and older, and requires understanding and embracing Christian Health’s mission. The position supports residents and families through assessment, treatment planning, referrals, admissions, discharge planning, care transitions, insurance and Medicaid-related processes, resident rights education, and quality improvement. It coordinates a range of clinical and administrative work for residents in HME and Southgate (SG), including MLTSS communications, PASRR and PAS processes, utilization review, chart audits, interdisciplinary care meetings, and referrals. The Team Lead also provides resident redirection and staff guidance, conducts social skills groups as needed, and covers for the Director of Social Work when she is absent. The position is full-time, generally scheduled Monday through Friday from 8:00 a.m. to 4:00 p.m., with weekends as needed. The stated salary is $85,000 per year.

Requirements

Master’s degree in social work, sociology, or counseling from an accredited university.
Certification as a CSW or licensure as an LSW in the State of New Jersey.
Two to three years of skilled nursing or long-term care geriatric social work experience.
Knowledge of screening, assessments, and discharge planning, including the ability to seek resources and make appropriate referrals.
Demonstrated compliance with the CH ASPIRE Standards of Performance.

Nice To Haves

Valid driver’s license preferred.

Responsibilities

Provide concrete social casework services and individual, group, and family supportive and educational counseling to residents and their families.
Collaborate with the Director of Social Work to oversee social work practices and oversee social work staff in the Director’s absence.
Seek community agency resources and advise residents about available services.
Support and educate families regarding illness, treatment, hospitalization, discharge, placement, and Medicaid or Medicare information and referrals.
Maintain accurate and legible contact records for treatment team review, comparative research, and accrediting agencies.
Interview residents, families, and significant others to obtain social histories and conduct resident and family interviews and group therapy; serve as primary therapist in identified cases when appropriate.
Prepare clinical assessments covering physical, familial, developmental, marital, financial, and occupational history, personality characteristics, and interrelationship perceptions.
Assist with screening possible admissions through telephone contact and record review.
Provide assistance to residents whose families are unable or unavailable to manage Personal Needs Allowance funds.
Attend interdisciplinary treatment team meetings, present social assessments, and participate in treatment plan development.
Develop and maintain a Social Services Department quality improvement program and implement action plans to address identified deficiencies.
Explain residents’ Bill of Rights to residents, sponsors, and staff, and refer complaints to the facility representative.
Participate in community activities that promote understanding and treatment of mental illness and aging.
Carry out assigned QAPI responsibilities and follow policies and procedures supporting quality care and resident quality of life.
Complete and submit admission clinical updates and other documents required by insurers and accredited care organizations.
Notify MLTSS case managers of admissions, verify authorizations, and coordinate corrections with managed care organizations when needed.
Check PASRR records and complete or coordinate Level I and Level II reassessments, psychiatric sign-off, and follow-up with DHMAS or DDD for determination letters.
Prepare in-depth OCCO letters for HME and SG residents converting from private pay to Medicaid, including history, medications, interventions, and support for the required level of care.
Assist Finance with Medicaid redetermination communications and coordinate with the OCCO PAS Nurse to obtain the appropriate PAS level.
Facilitate completion and timely submission of PA-4 Physician Certification forms.
Gather information for guardianship reports and work with APNs on the Certification of Examining Professional Form.
Notify MLTSS of hospitalizations, falls, readmissions, changes in status, and hospice; complete new PASRRs for significant MDS changes or requested MLTSS reviews.
Visit RRPH for referrals, introduce and evaluate residents for appropriate placement, support transitions to SG and HME, and complete precertifications when residents are sent to RRPH.
Manage the MLTSS roster for HME and SG and run weekly SG utilization reviews, tracking admissions, payer source, MLTSS visits, diagnoses, behaviors, interventions, behavioral notes, psychiatric visits and medication changes, and discharge plans or barriers.
Conduct routine chart audits for HME and SG.
Help coordinate OPTUM referrals and resident orders through the benefits catalogue.
Coordinate interdisciplinary care meetings and processes, including the monthly SG and HME elopement list, and ensure unit clerks update elopement books.
Redirect SG residents and inform staff about techniques that may help de-escalate situations.
Provide NOMNCS and ABNs to residents and families.
Provide monthly Resident Rights education at CNA Update and explain the social worker’s role and resident rights to the Nursing Assistant Training Program.
Meet with the Census Bureau during its visits, attend monthly HME Resident Council meetings, and attend weekly HME Medicare utilization review meetings.
Run Southgate Social Skills Groups as needed based on the population.
Cover for the Director of Social Work in her absence.