MARGARET MCGREGOR

• Supported Belmont Terrace residents in addressing social service needs and enhancing daily living through tailored assistance.
• Coordinated communication among clients, families, and external agencies to ensure seamless and effective care. between clients, families, external agencies, and other stakeholders.
• Monitored care plans, documented interventions, and tracked goal progress while recommending updates to optimize resident care.
• Worked with Belmont Terrace nursing and therapy teams to update care plans.
• Helped with admissions, transfers, and discharge planning at Belmont Terrace.
• Completed Care assessments every three months as well as BIMS, PHQ9, and MDS paperwork.
• Reviewed and completed PASSR paperwork on residents who had MH and DD.

• Coordinated resident admissions, discharges, and transfer paperwork for Auburn Post Acute.
• Reviewed care plans with nursing, therapy, and social work teams.
• Facilitated care conferences with residents, families, and interdisciplinary staff.
• Documented psychosocial assessments and resident service notes in facility records.
• Monitored compliance with post-acute social service requirements and reporting standards.
• Communicated with hospitals, physicians, and case managers about discharge planning.
• Ensured compliance with all state regulations concerning social service programs.

Executed CARE assessments for residents in residential facilities, ensuring accurate provider payments.

Conducted CARE assessments that facilitated timely discharges for residents from SNF.

• Monitored changes in residents' physical conditions and behavior patterns to enhance care quality. in residents' physical condition or behavior patterns.