Social Services Director
Countryside Post Acute, Buchanan, GA, United States
Responsibilities
Welcome and assess new residents
- Identify psychosocial needs, coordinate and complete psychosocial assessments, and initiate care plans. Depending on the facility, this may include admission interviews and orientation, or the SSD may focus solely on psychosocial adjustment.
Participate in the morning clinical meeting and afternoon stand-down meeting
- Stay informed about resident updates, admissions, discharges, and transfers.
Respond to resident, family and staff concerns
- Provide support, mediation, and documentation as needed.
Coordinate discharge planning
- Arrange home health services, DME, and connect residents with outside agencies in addition to collaboration with family or other caregivers at the discharge destination.
Provide emotional support/crisis intervention
- Assist residents experiencing distress, grief, or adjustment issues. Apply trauma informed care best practices.
Update care plans
- Reflect changes in psychosocial needs promptly in care plan documentation.
Conduct interviews and assessments
- Address new admissions, mood changes, or behavior concerns.
Document services provided
- Complete MDS entries for assigned sections and chart progress notes accurately and timely.
Communicate with external agencies
- Collaborate with hospice, guardians, ombudsman, etc. as needed.
Ensure residents' rights are upheld
- Monitor for and address grievances or rights concerns.
Weekly responsibilities: Collaboration & Oversight
Participate in care plan/care management meetings
- Ensure that social services input is reflected in comprehensive care plans.
Review MDS assessments and care plans
- Check for accuracy and compliance.
Facilitate discharge planning meetings
- Coordinate with nursing, therapy, families, and external providers.
Follow up on hospital returns
- Update assessments and restart discharge planning as needed.
Monitor the grievance log
- Ensure timely resolution and documentation.
Audit social services documentation
- Maintain survey readiness.
Provide staff education
- Topics may include resident rights, communication, behavioral health support, trauma-informed care, etc.
Review behavioral health concerns
- Collaborate with the IDT to adjust behavior management plans.
Check in with long-term residents
- Maintain ongoing psychosocial support and monitor quality of life.
Monthly responsibilities: Strategy, Quality & Compliance
Perform QA activities
- Review documentation, care plans, MDS entries, grievances, and discharge tracking. Initiate or complete performance improvement projects as required.
Participate in QAPI (Quality Assurance and Performance Improvement) meetings
- Provide audit results and action plans. Identify potential opportunities for systems improvement.
Submit required reports to the administrator
- This may include grievance log summaries, discharge/admission data, quality measure data, GDR reports, etc.
Update community resource listings
- Keep contact information for community agencies and services current.
Support staff training
- Provide new hire orientation and ongoing education in trauma-informed care, behavior management, etc.
Review and revise department policies
- Ensure alignment with regulations and best practices.
Align department goals
- Support broader facility care quality initiatives.
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Welcome and assess new residents
- Identify psychosocial needs, coordinate and complete psychosocial assessments, and initiate care plans. Depending on the facility, this may include admission interviews and orientation, or the SSD may focus solely on psychosocial adjustment.
Participate in the morning clinical meeting and afternoon stand-down meeting
- Stay informed about resident updates, admissions, discharges, and transfers.
Respond to resident, family and staff concerns
- Provide support, mediation, and documentation as needed.
Coordinate discharge planning
- Arrange home health services, DME, and connect residents with outside agencies in addition to collaboration with family or other caregivers at the discharge destination.
Provide emotional support/crisis intervention
- Assist residents experiencing distress, grief, or adjustment issues. Apply trauma informed care best practices.
Update care plans
- Reflect changes in psychosocial needs promptly in care plan documentation.
Conduct interviews and assessments
- Address new admissions, mood changes, or behavior concerns.
Document services provided
- Complete MDS entries for assigned sections and chart progress notes accurately and timely.
Communicate with external agencies
- Collaborate with hospice, guardians, ombudsman, etc. as needed.
Ensure residents' rights are upheld
- Monitor for and address grievances or rights concerns.
Weekly responsibilities: Collaboration & Oversight
Participate in care plan/care management meetings
- Ensure that social services input is reflected in comprehensive care plans.
Review MDS assessments and care plans
- Check for accuracy and compliance.
Facilitate discharge planning meetings
- Coordinate with nursing, therapy, families, and external providers.
Follow up on hospital returns
- Update assessments and restart discharge planning as needed.
Monitor the grievance log
- Ensure timely resolution and documentation.
Audit social services documentation
- Maintain survey readiness.
Provide staff education
- Topics may include resident rights, communication, behavioral health support, trauma-informed care, etc.
Review behavioral health concerns
- Collaborate with the IDT to adjust behavior management plans.
Check in with long-term residents
- Maintain ongoing psychosocial support and monitor quality of life.
Monthly responsibilities: Strategy, Quality & Compliance
Perform QA activities
- Review documentation, care plans, MDS entries, grievances, and discharge tracking. Initiate or complete performance improvement projects as required.
Participate in QAPI (Quality Assurance and Performance Improvement) meetings
- Provide audit results and action plans. Identify potential opportunities for systems improvement.
Submit required reports to the administrator
- This may include grievance log summaries, discharge/admission data, quality measure data, GDR reports, etc.
Update community resource listings
- Keep contact information for community agencies and services current.
Support staff training
- Provide new hire orientation and ongoing education in trauma-informed care, behavior management, etc.
Review and revise department policies
- Ensure alignment with regulations and best practices.
Align department goals
- Support broader facility care quality initiatives.
#J-18808-Ljbffr