Provide case management/service coordination for each person served.

*See, also, job descriptions of Social Worker and Therapeutic Recreation Assistant.

FUNCTIONS:

• Complete CARF notes weekly, every Tues., for assigned residents.
• Write lesson plans for Psychosocial group(s) as assigned by the Director of Social Services.
• Facilitate Psychosocial groups as assigned.
• Complete lesson plans, sign off, attendance, and document behaviors on Target Behavior Sheets and complete miscellaneous note regarding the same.
• Complete Safety Tracking Log for any resident incurring 2 or more incidents/month.
• Upon receipt of incident report, complete tracking log with date, location, time, Maintenance/PT for follow-up/preventative action.

Care Plan and Assessment Functions:

• Works with Interdisciplinary Treatment team members to review and revise care plans and assessments as necessary, but at least quarterly (monthly for E.C.)
• Develop a written plan of plan of care for each resident that identifies problems/needs of the resident. Revise problems, goals (including frequencies).
• Attend weekly care plan meeting to review residents as they are up quarterly/monthly. Provide input into the meeting to ensure the care plan is as comprehensive as possible.
• Work with team members to create a functional care plan which best meets the resident's needs.
• Lead the care plan meeting by reviewing Problem, Goal and Methods; and determining course of action.
• Review the care plan with resident and/or family members who choose to attend. If they are unable to attend, review with them individually following meeting or at designated time.
• Complete resident monitoring logs as specified on the care plan. Facilitate community outings and groups as assigned.
• Facilitate community outings and groups as assigned.