Director of Case Management

Administrative Services:Responsible for overall supervision of the building in the absence of the Executive DirectorMust be familiar with and able to implement emergency procedures as outlined in the company’s Emergency and Disaster PlanRespond to all requests for information and all other activities as directed by the Executive DirectorIs available 24/7 for immediate consultationAssure the accuracy of Resident records and documentation in adherence with company policies as well as regulations of the State Department of HealthFollow the policies and procedures related to incident reporting as well as State Department of Health RegulationsMaintain active community and professional relationships to support positive promotion of the Bristal.Develop contacts with community agencies (including clergy) serving senior citizens and will refer Residents when and where appropriate.Maintain a liaison with facility and the community nursing homes, hospitals and assisted living facilities.At the request of the Executive Director, conduct marketing tours, gathers preliminary information using the inquiry questionnaire.Resident Supervision:Act as Resident advocate and assist Resident Services and Administrative staff in their continued service to the residentVisit with each resident to assess his/her concernsAssure off-site visits are being made to all hospitalized/rehab inpatient residentsInitiate contact with resident representative within 24 hours of resident transfer and admission to hospitalAssure initial contact with outside facility discharge planners/social workers at outset of resident’s hospitalization to begin seamless transfer back to the communityConduct visit with resident during the hospitalization/rehab at the outset of the stay and throughout as warrantedCoordinate returns from hospital/rehabReport resident progress to Executive Director/ Director of Wellness/Designee and any concerns regarding meeting continued retention standardsRefer all resident complaints and/or concerns to the Executive Director for immediate investigation and resolutionWorking with the Executive Director and Department Heads conducts follow-up assessments for correction to assure issue resolution.Provide oversight to the admission process of the resident to include:Conduct Initial Evaluation/Case Management Assessment (off-site or on site) prior to admission into the community and follow-up evaluation within 30-days of move inAssure completion of pre-admission medical evaluation and other documentation by the appropriate licensed health care provider, as required by company policy and State Department of Health (at least 30 days prior to admission)Initial and ongoing orientation to facility for new residentsAcclimate residents and introduce them to other residentsEncourage residents to participate in social activitiesContact with resident’s representative within initial 24-48 hours to discuss resident’s preliminary adjustment.Inform Director of Wellness/ Designee, and Resident Services staff of the general well-being of residents as well as their ability to live in the assisted living setting.Alert the Executive Director and Director of Wellness/Designee and the resident representative of identified change in Resident status:Complete appropriate company documentation for status change (care level, apartment change, other billing changes or updates)Develop and update each resident’s Case Management Assessment (non-ALR)Assure corporate policy and State Department of Health requirements related to resident Case Management is upheld:Work with Department Directors to assure residents receive appropriate care and activity programsRefers resident service problems to the appropriate Department Managers and Administration as necessaryAssist residents with referrals to pertinent agencies when needed and facilitates (when requested by resident or resident’s legal representative), completion of Medicare/Medicaid/ Long Term Care Insurance (et al) formsAssist residents with obtaining benefits as needed, i.e., SSI, Medicaid, etc.Provide resident/representative with information regarding higher level of care including referrals to a such facilitiesCoordinate the Individualized Service Plan process including organizing ISP meetings, ensuring accurate completion of ISP, involve resident and/or resident’s representative in the development or revisions of such planMeet with the Resident at least quarterlyMeet with the resident’s representative at least every six months to review resident’s statusReview the Wellness and Reflections Communication Logs daily for any unusual occurrences or changes in resident’s status and records and assures appropriate interventional strategies are in placeCoordinate the Falls Management Program including DOH reporting, monitoring, and tracking of resident incidentsCoordinate resident services with outside agencies including but not limited to homecare, rehabilitation services, psychological services, etc.Assure all corporate policies and procedures and State Department of Health regulations are followed and maintainedAssist in the transfer and discharge of residents and assure excellent relationships with external stakeholder staff (discharge planners, physicians, nurse practitioners, etc.)Counsel resident/legal representative when a resident is identified as requiring a higher level of care:Assists resident/legal representative with transfer process to higher level of careConsults with Executive Director/ Director of Wellness / Regional Director to assure transfer process is following regulation and company policyDevelop and keep accurate resident records in compliance with company policy and regulatory rule:Maintains admission and periodic (at least quarterly) Case Notes to include necessary social, physical, behavioral health, and other findings, needed interventions, and eventual outcomesConduct annual case note summarizing the resident’s social, physical and behavioral healthMaintain admission/discharge log and daily census to assure all information is complete and up to date and available to the team.Staff Education, Development, Supervision and Evaluation: Conduct and/or schedule staff in-services to improve the quality of care and services and to respond to both individual and global staff identified needs:Conduct periodic education seminars for the residents and/or residents’ families in collaboration and coordination with the Lifestyle Director and/or Director of Wellness.Facilitate monthly Family Support Group for family members of residents in the Reflection Unit. Required Training:All mandatory in-services as per company policy and State Department of Health RegulationsMaintain appropriate licensure and obtain needed Continuing Education Units as indicated.