Duties and Responsibilities:
Responsible for assisting residents with social and emotional issues as they relate to nursing home placement and during the course of their stay at the center.
Participates in resident care conferences
Assesses all new residents in a timely manner, obtains a social history, establish goals and complete the applicable sections of the MDS.
Identifies and documents changes in the residents’ well-being, mood, and behavior and communicates this information to appropriate personnel.
Assists the residents and family members in the process of filing a grievance or complaint
Assists the residents and their family in the discharge planning process.
Coordinates appropriate services in the community (VNA, home care, etc.) for discharging residents.
Assists the resident/family with financial issues, assists the resident/family with the Mass Health Medicaid application.
Coordinates room changes and notifies the resident/family as required by regulation