Develops and maintains professional relationships with staff, physicians, residents, families, community resources, and third-party payers.Completes Admission forms/assessments and documentation as outlined in the Social Service Admission Process.Completes a plan of care for each resident based on their needs. Documents on progress towards care plan goal, and updates POC with significant change and/or quarterly.Assess residents various health needs on an on-going basis. Assess the need for referrals to health services and provides education and support.