Social Worker

Medical Suites at Oak Creek•Oak Creek, WI

13d•Onsite

About The Position

The Medical Suites at Oak Creek is seeking a compassionate, motivated Social Worker to support residents and families in its skilled nursing and rehabilitation community in Oak Creek, Wisconsin. The role helps residents navigate transitions, advocates for individual needs, and coordinates services that support recovery and quality of life. The community provides skilled nursing, short-term rehabilitation, and long-term care, with specialty programs in orthopedic rehabilitation, stroke recovery, cardiac care, pulmonary rehabilitation, and palliative care. The Social Worker collaborates with nursing, rehabilitation, medical providers, and other care team members, and helps residents and families make their voices heard in care planning.

Requirements

Current Wisconsin social work certification or licensure in good standing, such as CSW, APSW, CISW, or LCSW.
Bachelor’s degree in social work or a related human services field, with education meeting Wisconsin requirements for the credential held.
Knowledge of discharge planning, care coordination, resident rights, and community resources.
Strong communication, organization, documentation, and problem-solving skills.
A compassionate approach and a commitment to helping residents maintain their dignity, independence, and quality of life.

Nice To Haves

Experience in skilled nursing, long-term care, rehabilitation, hospital social work, or another healthcare setting.
Familiarity with MDS, Medicare, Medicaid, and nursing home regulations.

Responsibilities

Complete social histories and psychosocial assessments to identify residents’ strengths, preferences, support systems, and needs.
Develop and update individualized social services care plans with the interdisciplinary team.
Coordinate discharge planning beginning at admission, including referrals to community resources, home health services, and other appropriate supports.
Provide emotional support and help residents and families adjust to admission, changes in health, and transitions in care.
Participate in care conferences and communicate with residents, families, representatives, and healthcare partners.
Advocate for resident rights, dignity, choice, and person-centered care.
Assist with advance care planning resources, appropriate guardianship referrals, and access to financial or community assistance.
Complete timely, accurate documentation and assigned Minimum Data Set (MDS) assessments.
Help address resident concerns and connect individuals with appropriate behavioral health and other specialized services.
Support staff education on the social and emotional needs of residents.