Social work interim director of 84-bed facility with unique population including frail elderly, chronically ill, injuries and other illnesses. Maintained client documentation; ensuring compliance with regulatory standards. Inputted quarterly assessments into State mandated database. Assisted client and family with Durable Power of Attorney, and advanced care directives. Reviewed clients prescription medications with nurse and doctor on a weekly basis to assure consistent and correct dosage. Performed quarterly and annual psychosocial assessments. Communicated with family members by phone and or care meeting, and patients to develop measurable goals for progress, and planned resources including DME, insurance support, and caregiving in the home. Worked collaboratively with staff, participated in team meetings with creative ideas and suggestions for problems and or solutions.