Social Worker Skilled Nursing

Cape Cod HealthcareFalmouth, MA
1d

About The Position

· Bachelor's degree in social work or a related field from an accredited college or university. · Must be licensed in Massachusetts. · Must have, as a minimum, one (1) year supervised social work experience in a health care setting working directly with the elderly or disabled. · A member in good standing in the National Association of Social Workers and Academy of Certified Social Workers, Inc., preferred. · Must be able to read, write, speak, and understand the English language. · Knowledge of community resources. · Must possess the ability to make independent decisions when circumstances warrant such action. · Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served. · Must be a supportive team member, contribute to and be an example of team work and team concept. · Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. · Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level in which they are currently functioning. · Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing social services.

Requirements

  • Bachelor's degree in social work or a related field from an accredited college or university.
  • Must be licensed in Massachusetts.
  • Must have, as a minimum, one (1) year supervised social work experience in a health care setting working directly with the elderly or disabled.
  • Must be able to read, write, speak, and understand the English language.
  • Knowledge of community resources.
  • Must possess the ability to make independent decisions when circumstances warrant such action.
  • Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
  • Must be a supportive team member, contribute to and be an example of team work and team concept.
  • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
  • Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level in which they are currently functioning.
  • Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing social services.

Nice To Haves

  • A member in good standing in the National Association of Social Workers and Academy of Certified Social Workers, Inc., preferred.

Responsibilities

  • Performs each patient’s/resident’s initial comprehensive assessment to determine and best meet the goals of this patient/resident.
  • Works in collaboration with other professional disciplines to develop a patient/resident directed plan of care.
  • Develop discharge plans as determined by patient/resident and their Responsible Party.
  • Refers patients/residents, as necessary, to community resources and other organizations to best meet these discharge plans.
  • Will complete Social Service section of the MDS (Minimum Data Set Assessment) within the CMS mandated time frame
  • Will assist patient/resident with Advanced Care planning.
  • Involves patients and families in the interdisciplinary care process by coordinating and participating in care/discharge planning and initiating referrals for appropriate home care services if necessary prior to the resident’s return to the community.
  • Will facilitate communication with post-discharge residents to insure a successful discharge transition to community.
  • Must ensure that social service progress notes are informative and descriptive of the services provided and are completed in a timely manner as directed by Department of Public Health and CMS regulations.
  • Will participate in and attend various committees of the facility as required.
  • Will assist in educating residents and staff in Resident’s rights as mandated by Executive Office of Health & Human Services.
  • Will advocate on behalf of all patients/residents, as needed.
  • Will communicate weekly with Ombudsman Representative of Elder Services, as needed.
  • Must maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information; and adhere to Resident’s rights.
  • Performs other work related duties as requested.
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