19 days old

Social Services Coordinator - Full Time Days - Immanuel Trinity Courtyard

Papillion, NE 68046
  • Job Code

The overall purpose of this job is to ensure that residents are linked to support services that allow them to retain as much independence as possible. The responsibilities of this job include sourcing supportive and medical services provided by public agencies or private practitioners, as well as assessing a resident's supportive service needs. Once those are completed, it is the responsibility of the incumbent to refer residents to services in the community and to monitor and evaluate the provision of the services. Supports and lives out Immanuel's Mission and CHRIST Promises.


Key Areas
Key Responsibilities and Duties of the Job
Case Management

  • Completes initial and annual assessments. Carries out the interventions and goals identified to address the psychosocial history, which may include descriptions of cognitive status, social supports, family dynamics, mental health and substance dependency, and other issues and needs.
  • Collaborates with staff, family, communicating changes and concerns in order to ensure resident needs are met and he or she remains safe to live independently.
  • Presents confidentiality agreement and release of information documentation on an annual basis. In the event the participant is unable to understand the information, ensures the caregiver or representative understands the documentation. If there is a language barrier the Social Services Coordinator will provide the appropriate interpreter.
  • Provides ongoing support, counsel, and education to residents and family regarding a variety of issues, including but limited to: the aging process, dementia, grief and loss, end of life, disease processes, difficult family dynamics, and changing roles.
  • Performs home visits based on need. These visits occur annually, at a minimum, but situations may require weekly visits. Majority of residents require multiple home visits each year.
  • Acts as facilitator for meetings with resident, family, caregivers, and community agencies to clarify, or problem solve issues regarding housing or services. Mediates discussions between all parties.
  • Promotes a self reliant pro-active and positive social, psychological and physical lifestyle through coordinating life enrichment, wellness, and volunteer opportunities for residents.
  • May attend and actively participate in a variety of organization meetings related to resident care.
  • Assists residents and caregivers in filing grievances.
  • Ensures completion of documentation in resident records including: initial assessments, reassessments, change of status, temporary or permanent placements, hospital admissions and discharges, all significant interactions and observations by other staff.
  • Maintains accurate records and ensures compliance/reporting to local, state, and federal regulatory agencies.

Outside Agencies
  • Provide resources to Assisted Living and Skilled Nursing facilities. This may include assisting with applications.
  • Coordinates hospital or rehab discharge with facility discharge planner. Communicates with family or caregivers throughout resident's stay.
  • Provides visits within twenty-four (24) hours of return from hospital or rehab facilities to assist resident with transition.
  • Assists with assisted living, hospice, or nursing home placement as needed or requested.
  • Initiates or assists with referrals to external resources with community agencies such as Adult Protective Services, local authorities, or the County Attorney.
  • Assists residents with completion of the Do Not Resuscitate (DNR) directive, as needed.
  • Assists residents with Social Security and Medicaid application and renewal processes.
  • Coordinates Commodities program (state program which provides food on a monthly basis to qualified residents).
  • Acts as first responder with other staff when resident pull cords are activated or when wellness checks are requested.
  • Supervises Practicum students from local universities.

  • Acts within the scope of his or her authority to practice.
  • Complies with Emergency Preparedness Plan.

  • Acts as a resource to other team members regarding topics such as dementia, difficult behaviors, and difficult personalities.
  • Participates in continuing education classes and any required staff and training meetings.
  • Maintains professional affiliations and any required certifications.
  • Performs other duties as required or requested.
  • Performs other duties as assigned or requested.



  • Bachelor's Degree from an accredited school of social work, or a degree in Gerontology is required.
  • Legally authorized and currently licensed to practice the job's functions and actions in the respective state in which he/she is employed.

  • Two (2) years of experience in the social work profession is required.
  • Experience with older adult services, disability services, Federal and applicable State entitlement programs, legal issues, drug and alcohol use and abuse by older adults, and mental health issues are preferred.
  • Equivalent years of education and may substitute for experience requirement.

KSA- Knowledge Skills and Abilities-
  • Knowledge of psychology in analysis, intervention and counseling with individuals or in small group conferences.
  • Working knowledge of supportive services and other resources for older adults in the service area.
  • Skilled in counseling techniques, mentoring and coaching, and/or training methods.
  • Skilled verbal and written communication
  • Ability to advocate, organize thoughts, resolve problems, and provide results for older adults.
  • Ability to maintain accurate records and to prepare clear and concise reports, correspondence and other written materials.

Posted: 2021-02-09 Expires: 2021-03-10
Sponsored by:
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Social Services Coordinator - Full Time Days - Immanuel Trinity Courtyard

Papillion, NE 68046

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