Social Worker - Skilled Nursing (West Madison)

Oakwood Village•Madison, WI

About The Position

The Social Worker supports residents in the skilled nursing program through assessment, care planning, advocacy, discharge coordination, and psychosocial support. The role works with residents, families, staff, physicians, the Admissions team, and community organizations to address individual needs and promote quality of life. The Social Worker maintains resident documentation, assists with regulatory compliance and insurance paperwork, arranges transportation, investigates incidents, provides grief and loss support, and welcomes and orients new skilled nursing residents. The position also contributes to social work policies and procedures and collaborates with social work colleagues to improve services across the campus.

Requirements

Knowledge of HFS-89 and standard social work practice.
Bachelor’s degree in Social Work, Psychology, Sociology, or a related human service field.
Wisconsin Social Work certification.
At least one year of experience working in the health care industry.
Ability to provide informal leadership and foster a team approach.
Empathy and compassion when working with residents, families, and staff.
Ability to establish and maintain positive working relationships with the community.
Ability to maintain and protect confidential information.
Ability to exercise independent judgment and make sound decisions.
Ability to plan, organize, and prioritize work to meet deadlines and business needs.
Strong written and verbal communication skills.
Objectivity in addressing residents’ and families’ needs and concerns, with the ability to follow through on resolving issues.
Flexibility with hours to carry out position responsibilities.
Proficiency with Microsoft 365.

Nice To Haves

Experience working in a Community Based Residential Facility with a geriatric population.
Experience working with community service organizations.
Experience with Medicare/Medicaid/COP regulations.

Responsibilities

Assist the Admissions team with pre-admission and admission assessments when called upon.
Provide psychosocial and/or cognitive assessments and evaluations through the multidisciplinary team process when needs are identified by residents, families, staff, or physicians.
Participate in residents’ Individual Service Plans.
Coordinate discharge planning and intercampus transfers.
Support residents and families with personal needs, social relationships, and individual concerns.
Act as a liaison between apartment staff, residents, and responsible parties.
Advocate for residents by following up on complaints and concerns, promoting customer satisfaction, and supporting residents’ ability to remain in their homes when safe.
Work with the Oakwood team to improve quality of life for residents, families, and the community.
Collaborate with other social work staff to improve campus-wide service quality.
Develop social work policies and procedures for the Assisted Living program and work with intercampus Social Workers on campus-wide policies and procedures.
Maintain concise and accurate resident documentation, including social histories and assessments, and assist with annual SNF resident reviews.
Assist the Director of Nursing in ensuring compliance with state and federal regulations related to abuse or misappropriation.
Help residents complete paperwork to activate Long-Term Care Insurance.
Arrange transportation to and from doctor appointments.
Coordinate resident needs with appropriate community resources.
Investigate and complete resident incident reports.
Provide individual and/or group grief and loss support.
Welcome new residents and coordinate their orientation to skilled nursing.