The Social Worker provides a medically related social services program for residents and hospital inpatients or swing-bed patients, working closely with the ACO team and the hospital’s interdisciplinary team. The role assesses residents’ social, emotional, and psychological strengths and needs; determines needed assistance; helps residents obtain benefits from agencies such as Medicaid, Social Security, and Veterans Benefits; completes required forms; involves families when appropriate; uses community resources; and assists with discharge preparation in accordance with applicable regulations and facility policies. The Social Worker conducts admissions meetings and interviews, maintains social records for swing-bed residents, participates in care planning, coordinates communications with families and agencies, and monitors and documents changes in residents’ needs, complaints, interventions, and outcomes. The position also maintains referral sources, participates in community outreach, reviews and updates social services care plans, and fulfills ongoing education, regulatory, confidentiality, conduct, and guest-relations requirements. Other duties may be assigned, and responsibilities may change.
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Job Type
Full-time
Education Level
No Education Listed