Social Services Coordinator - Avamere Court at Keizer

Social Services Coordinator

Status: Full-Time

Schedule: Monday-Friday 9a-5p

Location: Avamere Court at Keizer - 5300 River Rd.

N, Keizer, OR, 97303

Apply at Teamavamere.com

The Social Services Coordinator partners with the Social Services Director to coordinate the social services program in a skilled nursing center and ensure that the residents' medically related emotional and social needs are met and maintained per all applicable laws and regulations.

Essential Duties and Job Responsibilities


* Meets with new admissions to document the resident's psychosocial history and identify the current psychosocial needs as directed by the Social Services Director.


* Collaborates with the Social Services Director, leadership team, the resident and/or resident's representatives, and physician to determine discharge plans.

Communicates regularly with all parties regarding the plan and encourages resident and/or resident's representative participation in all planning and discharge process steps.


* Coordinates home health, hospice, and support services, including making referrals and obtaining services from outside agencies as needed.


* Arrange ancillary services, including but not limited to dental, ophthalmology, and audiology services.

Coordinating appointments for such services and transportation may be required.


* Completes and issues Notice of Medicare Non-Coverage (NOMNC) and Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) as applicable.


* Completes assigned sections on the MDS and participates in coordinating Medicaid services.


* Documents care plan and services provided in the resident's record per state and federal regulatory requirements and Prestige policies.

Ensures that all entries are accurate, timely, and descriptive of the services provided.


* Acts as a resident advocate by ensuring that services are provided in the resident's best interest and educates on residents' rights.


* Assists residents in accessing mental health services and other community resources.


* Arranges and obtains needed durable medical equipment, clothing, and personal items for residents.


* Conducts and assists in coordinating resident and family support groups including the development of programs for special needs residents.


* Manages behavioral health services, including tracking, meetings, care planning, and care and services.

Coordinates and updates Behavior Monitors for residents as required.


* Partners with the clinical team in training staff on residents' behaviors and appropriate behavioral interventions.


* Attends meetings such as Stand-up, Managing Acute Care Conditions (MACC), Quality Assurance Performance Improvement (QAPI), and other meetings as required.


* Performs other duties as assigned.

Successful incumbent employees must be able to perform the position's essential duties to the organization's satisfaction, with or without a reasonable accommodation.

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