Works collaboratively with other team members to coordinate care and provide education for all residents related to any physical, emotional, or psycho-social needs while at the facility, discharge planning and referrals to home services, or end of life care. Essential Job Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions: • Demonstrates an awareness of, a respect for, and attention to the diversity of the people with whom they interact (persons served, personnel, families/caregivers, and other stakeholders) that is reflected in attitudes, behavior and services. • Assists short term and long term residents and their families in adjusting to their illness, by dealing with life changes, grief, loss, placement, and depression through counseling and developing resident centered care plans with other members of the Interdisciplinary care team. • Assists with advanced directive planning in collaboration with nursing and medical services. • Responds to resident and family needs by advocating on behalf of the resident any wishes that are presented. Attends appropriate facility meetings on behalf of the residents such as Care plan meetings, Welcome meetings, Medicare meetings, etc.; protects the residents from abuse, neglect and misappropriation of property. • Completes documentation per federal and state guidelines and sends required documentation to appropriate agencies and physicians. • Assists in ensuring accuracy in census, collaborating with nurse liaison on prospective residents, touring prospective residents/families, and conducting PASAAR screens when appropriate. Meets and welcomes new residents to facility. • Educates residents and families regarding financial needs, monitors and assists with insurance verification and transitions of payment options, issues Medicare A & B non-coverage cut letters and collaborates with the business office for issues related to payment. • Assists with orientation of new employees as it relates to resident rights. |