<p>Adult Services Unit (SW III - Adult Care Home Specialist). Prefer experience reviewing medical records, working in investigations, long term care, adult day care, adult day health and/or with adult population. Required the ability to work effectively with facilities, residents and populations with Mental Health issues.</p> <p>I.A.Primary Purpose of Organizational Unit</p> <p>This position is assigned to the Adult Services Unit, which is part of the Service Division for the local Department of Social Services. This unit provides services to adults residing in Nash County. In addition, the unit operates emergency assistance programs in the agency. This specific position will provide Adult Care Home Specialist duties.</p> <p>B.Primary Purpose of Position</p> <p>The primary purpose of the Adult Care Home Specialist (ACHS) is to recruit and promote development of adult care facilities. The ACHS provides consultation and technical assistance to administrators, reviews and assess completion of licensure applications, monitor and document facilities compliance with licensure rules and standards. The ACHS performs an annual assessment of each licensed facility and develop a work plan that will be monitored. The ACHS will investigate all complaints and, if complaints are substantiated, will assist the facility in developing a plan of correction. The ACHS offers and proves general services for residents who reside in these facilities.</p> <p>C.Work Schedule</p> <p>The normal work hours are from 8:00am until 5:00pm. The agency has allowed workers to participate in a flex time schedule beginning as early as 7:30am and as late as 5:30pm. This worker will be on call for any emergencies that may arise at the facilities. The worker may have to work overtime on some occasions for which the/she receives compensatory time or payment for time.</p> <p>D.Change in Responsibilities or Organizational Relationship</p> <p>The position will be assigned to the Adult Service Unit.  The position will be Adult Care Home Specialist/Adult Placement. </p> <p>Order of Importance xxxx</p> <p>Sequential order <strong>__</strong> </p> <p>(All responsibilities and duties described in II.A. are essential to the effective performance of a Social Worker III in this position.)</p> <p>II.A.Duties and Responsibilities</p> <p>1.*ADULT CARE HOME SPECIALIST (75%)</p> <p>As ACHS, primary duties are to monitor compliance with state licensing rules and standards, to recruit, license, re-license, investigate complaints, and investigate unlicensed facilities. </p> <p>The ACHS worker develops a knowledge base of licensing rules and standards and provides prospective administrators with information in the areas of philosophy of adult care needs of agency and disabled needs for additional beds, the social and economic factors affecting the needs of the home, the statutory framework in which licensure and supervision is carried out; the Civil Rights Act, local zoning ordinances, Resident' Bill of Rights, and the licensing rules and standards. Adult Care Home Specialist will complete an annual assessment and evaluate all licensure requirements with an administrator or his/her designee that may include licensing procedures, medical for staff, contacting reference, requesting floor plans, fire and sanitation reports, reviewing the facilities' policy and procedures, manuals, making the preliminary assessment of existing building, etc. The Adult Care Home Specialist will summarize and evaluate all new licensure materials and submits recommendations to the Division of Facility Services for licensure. The ACHS completes an annual work plan in order to monitor all areas of compliance for the renewal of annual licenses. ACHS is responsible for monitoring all licensed beds in the county to ensure that each resident receives the services that has been ordered by their doctor. The ACHS must be able to work and make life-threatening decisions regarding the client life-threatening situations independently. The ACHS must be able to assess a situation in a facility and determine its severity based information collected, if immediate action should be taken in order to ensure safety and well-being of residents in the facility.</p> <p>The ACHS makes unannounced monitoring visits to each licensed facility be-weekly and more if necessary.  The ACHS completes monitoring and correction action reports on the facilities' compliance with standards and rules and communications with Division of Facility Services regarding recommendations.  The ACHS assists the administrator in organizing training for line staff through staff development plans and also assists the administrator in reviewing training needs for management as well as line staff to meet their continuing educations requirements.  The ACHS ensure all staff is properly tested and has successfully passed all required tests before performing specified jobs.  The ACHS has the responsibility of investigating complaints within five (5) working days and assists management staff in developing plans and setting goals to correct any violations cited.  The ACHS must be able to assess the violation to determine if it meets the definition for Adult Protective Services (APS) and refer if necessary.  This action has to be taken immediately because of APS time restraints.  The ACHS will notify the appropriate person if additional intervention is needed.  If not, the ACHS notifies administration and initiates corrective action plan and/or monitors the facility for compliance.  </p> <p>The ACHS explores with administrator problem-solving techniques regarding residents that may be experiencing difficulty with placement.  The ACHS also must ensure that the residents' Bills of Rights is not violated in this situation. </p> <p>The ACHS provides consultation and technical assistance to assist administrators in meeting the licensing rules and standards, to assist in keeping administrator current of changes in requirements, reporting forms, and other factors affecting the facility, and my provide basic information and suggestions to applicants and administrators in finding alternative methods to comply and state rules standards.  The ACHS maintains a file on each licensed facility with current information and assistance toward upgrading care and services in the home. </p> <p>2.*ADULT PLACEMENT SERVICES (20%)</p> <p>Assistance given to aged or disabled clients in finding licensed substitute home suitable to the needs of the client when they are unable to remain in their own homes or when these services are needed to enable adults to move out of institutional care. These services include assessing with clients or family the appropriateness of and need for placement, determining the need and arranging for services to support the social, emotional, and physical well-being of the client during the placement, counseling to help the client to attain and maintain an adequate psycho-social adjustment, and counseling and casework services to support and strengthen the client's relationship and his/her own family. This worker will provide extensive counseling to consumer and family members to ensure the placement is a positive one. He/She will keep in mind the fears the consumer may be facing because of giving up his/her independent living arrangements. He/she will provide the positive enforcements needed to ensure the placement is successful.</p> <p>Other Duties </p> <p>A.Adult Protective Services (4%)</p> <p>The social worker in this position will work closely with the Adult Protective Service Worker in gathering information to substantiate or unsubstantiated an Adult Protective Service referral. The ACHS may be asked to assist in monitoring the Adult Protective Service Worker Plan since this plan will be incorporated in the ACHS Corrective Action Plan.</p> <p>B.Disaster Duty (1%)</p> <p>This social worker, as all other staff, performs disaster-related duties within and outside the agency. Duties may be within or outside normal business hours. He/She may perform other duties as deemedappropriate by management.</p> <p>II.B.Other Position Characteristics</p> <p>Accuracy in Work </p> <p>Great precision is required in this work.  The worker must correctly interpret rules and standards according to the state.  The worker must apply that interpretation when monitoring the facilities to ensure all areas are in compliance, especially areas that could be considered life threatening.  Documentation of monitoring reports, corrective action reports, time reports, day sheets, and other state and county forms must be completed accurately and timely. </p> <p>Consequences of Error </p> <p>If errors are made in interpreting of the adult care homes state rules and standards along with incomplete and inaccurate corrective action reports could result in being costly to the owner of the facility, which may result in the agency a negative sanction. </p> <p>Instruction Provided to Employee </p> <p>Instructions are provided in written and oral form.  Bi-monthly unit meetings and staffing of situations helps the worker to develop and receive instructions on policies and procedures.  Worker has schedule conferences with supervisor. </p> <p>Manuals and administrative letters provide instructions. The worker attends appropriate workshops regarding policy, procedures, and social work trends. Worker receives instruction by attending Regional support groups, and quarterly meetings. Division of Facility Services provides semi-annual consultation visits.</p> <p>Guides, Regulations, Policies, and References Used by Employee  </p> <p>Service Information System Manual </p> <p>A Model for Excellence in Adult Services </p> <p>A Guide to Recordkeeping for Adult Services Social Worker </p> <p>North Carolina Diet Manual </p> <p>Physician's Desk Reference </p> <p>Model for Prevention and Remediation of Elder Abuse </p> <p>Adult Protective Services Basic Skill Training </p> <p>Social Services and Related Laws of North Carolina </p> <p>Adult Foster Care Basic Orientation and Training Workshop Resource Manual October. 1099 </p> <p>Rules for the Licensing of Adult Care Facilities </p> <p>Adult Care Facilities Procedure Manual, May 1991 </p> <p>North Carolina Personnel Regulations </p> <p>Agency Personnel Handbook </p> <p>Instruction from Director, Assistant Director, Program Administrator, and Regional Consultants </p> <p>Health Care Personnel Registry and Investigations Information Manual </p> <p>Abstracts of Interpretations of Adult Care Home Rules and Residents' Bill of Rights </p> <p>Volume V, VI, VII </p> <p>Supervision Received by Employee </p> <p>This employee receives supervision by scheduled conferences, meetings informal interactions, reports, and an annual performance appraisal.  Review for quality is also received through periodic random case review and reading of monitoring and corrective reports completed on all facilities.  Regional Consultant, Medicaid Consultant, and Division of Facility Services Consultant do the random monitoring. </p> <p>Variety and Purpose of Personal Contacts </p> <p>The employee has contact with unit staff and other staff within the agency.  Since majority of worker time is fieldwork, contacts will be made with staff at the facilities as well as private office of worker.  Worker also make contacts with local health care providers, out of county health care providers, mental health, crisis organizations, churches, civic organizations, State Office personnel, law enforcement, doctor, nurses, hospital social workers, building inspectors, environmental health personnel, court officials, and the general public.  These contacts may be needed as he/she gathers information in order to complete monitoring or corrective action reports or in the process of licensing, re-licensing, and monitoring Adult Care facilities.  Worker will serve as an agency representative on various committees and will act as liaison between the numerous persons and agencies involved in the delivery of services to clients and advocate for client rights.  Employee will also handle and resolve complaints from clients, interpret programs, policies, and procedures on an individual basis. </p> <p>Physical Effort </p> <p>Employee must have the stamina to continue to maximum performance at all times. At times, efforts are needed in assisting clients with mobility. Physical efforts is needed for employees to move within the agency, climb stairs, and use office equipment.</p> <p>Work Environment and Conditions </p> <p>Work is performed in the field and in private office in the agency.  Employee is placed in unpleasant conditions when investigation complaints are in facilities.  Employee is occasionally exposed to infectious diseases such as scabies, flu, AIDS, TB, etc.  All staff is aware of precautions to take when such event occurs. </p> <p>Machine, Tools, Instruments, Equipment, and Materials Used </p> <p>Employee uses PC, laptop computer, copy machine, calculator, automobile, telephone, water temperature thermometer, tape measure, cellphones, manuals, camera, and paper shredder in order to perform duties.</p> <p>Visual Attention, Mental Concentration, and Manipulative Skills </p> <p>All areas of this job require close visual attention because accuracy is very important.  The activities performed in this job requires most intense mental concentration in areas such as engaging client trust, determining the reality of the situation, problem-solving, goal planning, and interpreting legal mandates as it applies to each case situation.  Employee must have physical dexterity required to successfully and efficiently operate machinery and tools outlined in above information. </p> <p>Safety for Others </p> <p>See information listed under Work Environment and Conditions. </p> <p>Dynamics of Work </p> <p>Programs are periodically affected by changes in methodology, guidelines, legislation, laws, and shifting program emphasis. Worker will receive guidance and appropriate supervision as these changes occur.</p> <p>The worker should have considerate knowledge of basic social worker techniques and practices and their application to specific casework, group work, and community problems and of governmental and private organizations and resources in the community. Knowledge of human behavior and socio-economic problems and their treatment in order to access, plan, and set goals for clients, help them obtain autonomous function and effectively utilize their own problem solving and coping capacities to affect change. Knowledge of client advocacy to establish initial linkage between clients and resource systems. Knowledge of the developmental stages and developmental tasks of individual and medical and psychological diagnosis, particularly as it relates to the elderly and disabled population. The ability to recognize, accept, and cope with hostility, anger, loss, and pain encountered in working with dysfunctional individuals and families. The ability to respect a person's individuality, right to self-determination, confidentiality, and empowerment. </p> <p>Required Minimum Training </p> <p>Master's degree from an accredited school of social work and one year of social work experience, or a bachelor's degree from an accredited school of social work and two years of social work experience or counseling experience; or a master's degree in a counseling field and two years of social worker or counseling experience; or a four-year degree in a human service field or related curriculum including at least 115 semester hours in courses related to social work or counseling and three years of social work experience; or graduation from a four-year college or university and four years of experience in rehabilitation counseling, pastoral counseling, or a related hum service field providing experience in techniques of casework, group work, or community organization; or an equivalent combination of training or experience.</p> <p>License or Certification Required by Statute of Regulations</p> <p>Valid NC Driver's License is required. </p> <p>Verification of car liability insurance. </p>