ECRH Gracewood-Social Worker

Social Work And Transition Coordinator

The incumbent will perform social work and transition coordinator duties at Gracewood Hospital. This includes but is not limited to psychosocial assessments, action plans, and data sheets; quarterly and monthly case management notes on individuals; contact notes; DMA-7s bi-monthly; liaison between family, outside clinics, and the Gracewood Hospital facility; purchasing and discarding of items for individuals as needed (furniture, clothing, electronics, medical devices, etc.);

attend meetings as necessary and required; maintain legal documents and inform DBHDD legal of any guardianship changes;
Complete in-service and all AU and DBHDD trainings as required by both organizations.

The responsibilities include, but are not limited to:
Assessments completed 30-45 days prior to annual IPP conference. Updates IPP in staffing folder, update action plans, and data sheet as needed in shared drive. Follow process for PPr: validate programs with QIDP and validation forms, update as needed for individuals on caseload. Update data sheet and action plans to reflect new programs needed. Active Treatment Interact/engage with individuals on their: living area/dining room/activities;

on/off campus events etc. Training In-service (DBHDD and AU). Competency (DBHDD and AU) Transition Per DOJ, note family preference for community placement. Meeting with Office of Transition Mgr, Office of Crisis and Transition Service-Poythress twice per month. Stout Documentation-in Avatar and to the family by the 5th of the month. Quarterly and Case Management Notes Quarterly notes due no later than last day of the month.

Transition notes due last day of the quarter. Case management notes due as individual meetings held, telephone calls with families, visits, change in function. DMA-7 Receive DMA-7 (due on 1st and 15th of months); forward to appropriate nurse for individuals. SW then scans and forward into chart for individual. Individuals Liaison Follow up with representative regarding attempted and unsuccessful telephone calls from medical staff regarding incidents or consents.

Contact representative/family/legal guardian for consent to purchase items and  recommends and complete acknowledgment forms. Assist representative/family/legal guardian with paperwork or other situations/issues they may not understand. Receive requests for visits from family/representative and email requests to security and staff involved in the individuals care. Update any change of address/phone number of representative and upcoming Psychosocial assessment. Assist ECRH clinic with connecting outside clinics/physician with representatives for consent/information.

Purchasing/Discarding Based on individuals need and  meetings, purchase furniture/electronic for individuals on caseload (follow protocol for inventorying purchased items) Final Notes Death summary (in Avatar). Discharge Summary (in Avatar) Skilled Unit Only (based on caseload assignment) MDS book once a month (update Social Work portion). QAPI meeting for SNF once a month Meetings Leadership Meeting ECRH (once a month). Statewide Social Work DBHDD (once a month).

Continued Habitation Gracewood (Every Monday). Human Rights DBHDD (once a month). Legal Issues Inform appropriate person if legal guardian deceases or there is a change in legal guardianship. Inform legal if there is no one to serve as representative for individual. If an individual has only one representative, alert legal. Assist Marshall's Office/Sheriff's Office with serving legal paperwork to individuals (wills and/or family estate issues) Other Other duties as assigned.

Educational Requirements Master's Degree from an accredited college or university in Social work, Psychology, or…