Reserved Bed Social Services Assistant

General Purpose

The Reserved Bed Social Services Assistant supports patients within PACS facilities, particularly those admitted from hospitals with complex needs.

This role focuses on assisting residents who require additional time and resources beyond what facility social workers can typically provide.

The position manages a caseload of residents in collaboration with facility teams, supporting Medicaid approval, discharge planning, and placement into appropriate community settings.

Key Responsibilities


* Supports patients within PACS facilities, particularly those admitted from hospitals with complex needs


* Assists with a group of residents who require additional time and resources beyond what facility social workers can typically provide


* Manages a caseload of residents in collaboration with facility teams


* Helps residents navigate and obtain Medicaid approval


* Coordinates placement into appropriate community settings upon discharge


* Develops and maintains a strong network of discharge resources, including:
+ Adult foster homes
+ Assisted living facilities
+ Sober living environments
+ Community housing resources
+ Addiction and support services


* Performs core social services functions, including:
+ Care plan meetings
+ Family meetings
+ Medicaid planning
+ Durable Medical Equipment (DME) setup
+ Discharge planning

Qualifications

Required


* High School Diploma or GED


* Experience in a Skilled Nursing Facility (SNF), healthcare, or social services setting


* Strong organizational and case management skills


* Excellent communication and interpersonal skills


* Ability to manage multiple priorities and follow up effectively

Preferred


* Experience with Medicaid application and eligibility processes


* Background in social services, case management, or discharge planning


* Knowledge of community resources and post-acute care services

Skills & Competencies


* Strong relationship-building and networking skills


* Problem-solving and ability to manage complex situations


* Ability to communicate effectively with residents, families, and interdisciplinary teams


* Attention to detail and strong documentation skills


* Ability to work collaboratively across multiple facilities

Physical Demands

The physical demands described here are representative of those required to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.


* Primarily sedentary with frequent sitting and computer use


* Regular walking within the facility for meetings and coordination


* Frequent communication via phone, email, and in-person interactions


* Ability to occasionally lift up to 10-15 pounds

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