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Christian Health Care Center

Team Lead Social Worker

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeWyckoff, NJ, USA

About the Job

Requirements

  • A master's degree in social work, sociology, or counseling from an accredited university is required.
  • Must be certified as a CSW or licensed as an LSW by the State of New Jersey.
  • Two to three years of skilled nursing or long-term care geriatric social work experience is required.
  • Must have knowledge of screening, assessments, and discharge planning, demonstrated by the ability to seek resources and make appropriate referrals.
  • Must demonstrate compliance with the CH ASPIRE Standards of Performance.

Responsibilities

  • Provide concrete social casework services to residents and their families, including individual, group, and family supportive and educational counseling.
  • Collaborate with the Director of Social Work to oversee social work practices and oversee social work staff in the Director's absence to ensure daily operations are delivered.
  • Seek and use community agency resources, and advise residents about available community resources.
  • Support, educate, and assist families regarding resident illness treatment, hospitalization, discharge, and information and referrals for appropriate placement, including Medicaid and Medicare.
  • Maintain accurate, legible contact records for comparative research and review by the treatment team and accrediting agencies.
  • Interview residents, families, and significant others to obtain complete social histories.
  • Conduct resident and family interviews and group therapy, and may function as primary therapist in identified cases.
  • Prepare clinical assessments for diagnosis and treatment, including physical, familial, and developmental history, marital, financial, and occupational status, personality characteristics, and interrelationship perceptions reported by residents and families.
  • Assist in screening possible admissions through telephone contact with residents or families, community liaisons, and record review.
  • Provide concrete assistance to residents whose families are unable or unavailable to manage Personal Needs Allowance funds.
  • Attend interdisciplinary treatment team meetings, offer social assessments, and participate in developing treatment plans.
  • Develop, implement, and maintain an ongoing quality improvement program for the Social Service Department, and implement action plans to correct identified deficiencies.
  • Demonstrate competency in restraint utilization through a post-test and return demonstration.
  • Explain residents' Bill of Rights to residents, sponsors, and staff, and refer complaints to the facility representative.
  • Promote favorable community attitudes toward recognition and treatment of mental illness and aging through participation in related community activities.
  • Carry out assigned QAPI roles and responsibilities to improve healthcare delivery processes and resident quality of life, and follow established policies and procedures supporting QAPI efforts.
  • Upon admission, complete and submit clinical updates and other documents required by insurance companies and accredited care organizations.
  • Notify the MLTSS case manager of admissions, verify authorization, and complete necessary paperwork and communications with managed care organizations to correct authorization when needed.
  • Provide clinical information to case managers for face-to-face assessments.
  • Check PASRR accuracy; redo Level I and Level II when necessary, obtain psychiatric sign-off, and follow up with DHMAS or DDD for the determination letter.
  • For existing HME or SG residents, prepare detailed letters to OCCO about resident history, past and current medications, non-pharmacological interventions, and need for skilled nursing care when converting from private pay to Medicaid.
  • Assist Finance with Medicaid redetermination communications.
  • Work with the OCCO PAS Nurse to obtain the appropriate level of PAS.
  • Facilitate completion and signing of PA-4 physician certification forms and send them to Finance promptly.
  • Gather information for guardianship reports, including consults, medications, and treatment, and work with APNs on the Certification of Examining Professional Form.
  • Notify MLTSS of hospitalizations, falls, readmissions, changes in status, and hospice changes.
  • Complete new PASRRs for HME and SG when a resident has a significant MDS change or when requested for an MLTSS resident review.
  • Visit RRPH after referrals to introduce the role, evaluate appropriate placement, and establish rapport with residents to assist their transition to SG and HME.
  • Complete precertifications when residents are sent to RRPH.
  • Manage the MLTSS roster for HME and SG.
  • Run weekly utilization reviews for SG and manage Southgate utilization review for all 50 residents, tracking admissions, payer source, MLTSS visits, diagnosis, target behaviors, interventions, behavioral progress notes, psychiatric visits and medication use or changes, and discharge plans or barriers.
  • Conduct routine chart audits for HME and SG.
  • Help coordinate OPTUM referrals and resident ordering through the benefits catalogue.
  • Coordinate interdisciplinary care meetings and processes, including the monthly SG and HME elopement list, and ensure the elopement book is updated on the unit and at the Commons.
  • Redirect SG residents and inform staff about techniques that may help de-escalate situations.
  • Provide NOMNCS and ABNs to residents and families.
  • Speak monthly at CNA Update to educate staff on resident rights.
  • Provide an overview of the social worker's role in this setting and resident rights to the Nursing Assistant Training Program.
  • Meet with the Census Bureau during its visits.
  • Attend monthly Resident Council meetings at HME and weekly Medicare utilization review meetings for HME residents.
  • Run social skills groups at Southgate as needed by the population.
  • Cover for the Director of Social Work in her absence.

Desired Qualifications

  • A valid driver's license is preferred.

About the Company

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Wyckoff, NJ
Founded
1911

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