Professional Care Coordinator
1 week ago
Job Summary:
We are seeking a skilled and compassionate Professional Care Coordinator to join our team at Cape Cod Healthcare Inc. As a key member of our healthcare team, you will play a vital role in ensuring the highest quality care for our patients.
About the Role:
The successful candidate will be responsible for conducting comprehensive assessments to determine patient goals, developing patient-directed plans of care, and referring patients to community resources as needed.
Key Responsibilities:
- Collaborate with interdisciplinary teams to develop and implement patient care plans that address their unique needs and goals.
- Develop discharge plans in collaboration with patients and their families to ensure a smooth transition to post-acute care settings.
- Refer patients to community resources and organizations to support their ongoing care and well-being.
- Complete social service documentation within CMS-mandated time frames to ensure accurate and timely reporting.
- Assist patients with advance care planning to ensure their wishes are respected and carried out.
- Coordinate and participate in care/discharge planning and initiate referrals for home care services to support patients in need.
- Facilitate communication with post-discharge residents to ensure successful transitions and minimize readmissions.
- Ensure timely completion of social service progress notes to maintain accurate records.
- Participate in facility committees to stay informed about resident needs and advocate for their rights.
- Advocate on behalf of patients as needed to ensure their voices are heard and their needs are met.
Requirements:
- Bachelor's degree in social work or a related field from an accredited college or university.
- Licensure in Massachusetts as a social worker.
- One year of supervised social work experience in a healthcare setting working directly with the elderly or disabled.
- Membership in good standing with the National Association of Social Workers and the Academy of Certified Social Workers, Inc. (preferred).
- English language proficiency (reading, writing, speaking, and understanding).
- Knowledge of community resources to support patient care.
- Able to make independent decisions and contribute to a collaborative team environment.
Salary:
$65,000 - $85,000 per annum based on experience and qualifications.
Benefits:
- Comprehensive health insurance package.
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