Essential Functions  ? Assesses the psychosocial status of patients related to the patient’s illness and environment and  communicates findings to the registered nurse.   ? Carries out social evaluations and plans person-centered intervention based on evaluation  findings.   ? Maintains clinical documentation on all patients referred to social work.   ? Provides information and coordinates referral services for residents/patients and  families/caregivers regarding resident’s/patient’s practical and environmental needs.   ? Provides information to residents/patients or families/caregivers regarding community agencies  and other available services.   ? Serves as liaison between residents/patients or families/caregivers and community agencies.   ? Maintains collaborative relationships with facility co-workers to support resident/patient care.   ? Participates in the development of the total plan of care and case conferences for  residents/patients referred to social services, as required.   ? Assists physician and other team members in understanding significant social and emotional  factors related to residents’/patients’ health problems.  ? Establishes behavior monitoring and interventions to provide quality care to resident and  reduce/alleviate necessity of medication use.  ? Addresses resident behaviors to prevent harm to themselves or others.  ? Actively participates in discharge planning and advises on issues relating to resident’s/patient’s  practical and enviro mental needs post-discharge.   ? Coordinates medication review regimen to determine gradual dose reduction to the lowest  possible dose.  Other Functions  ? Other duties as delegated by the Chief Nursing Officer and/or the Chief Executive Officer.  Knowledge/Skills/Abilities   ? Demonstrates good verbal and written communication, and organization skills.  Core Values & Behaviors that Improve Lives  ? Demonstrates a culture of service and a commitment to doing “good” by improving lives.   ? Regularly exhibits behaviors that support the values of the company – Family, Ownership,  Responsibility, Celebration, and Experience.   ? Work ethic reflects a passion for exceeding patient/resident expectations.  ? Solicits patient/resident feedback to understand their needs and the needs of the community.   Advocates for raising the bar of patient/resident care within the facility and influences others to take  actions that increase the quality of person-centered care.  ? Displays responsibility by taking ownership of quality care.  Shows dedication to enriching the lives  of our patients/residents through empathy and compassion.  ? Exhibits a commitment to results by looking for and recommending/implementing process for  performance improvements.  ? Demonstrates commitment to interpersonal excellence through professional greetings, proper  telephone and email/social media etiquette, common courtesy, a professional attitude and  appearance.  ? Enriches the facility culture by participating in company hosted and endorsed celebrations and  events.  ? Recognizes the benefits of team collaboration.  Shows respect for fellow employees by working  together to get the job done.  ? Effectively addresses patient/resident and family member concerns and resolves conflict in a  manner that is consistent with our culture.  ? Complies with company policies, as well as governing state and federal laws and regulations. Seeks  clarification of leaders when there are questions of policy or governing law.  ? Protects patient/resident privacy and dignity.  ? Maintains positivity while interacting with co-workers, patients/residents and guests at the facility.   

Must be C.N.A