The Strategies
CARDINAL CARE STRATEGIES
Job Title:
Social Worker
Long-Term Care / Skilled Nursing Facility Position Summary: The Social Worker is responsible for providing comprehensive psychosocial support to residents and their families in a long-term care or skilled nursing facility. This position focuses on promoting residents emotional well-being, assisting with adjustment to the facility, discharge planning, advocacy, and ensuring compliance with federal, state, and facility regulations. Key Responsibilities: Resident Support & Advocacy Conduct psychosocial assessments upon admission, quarterly, annually, and as needed. Provide counseling and emotional support to residents and families to assist with adjustment to long-term care and life transitions. Advocate for residents rights, dignity, and quality of life. Address behavioral, emotional, and social concerns in collaboration with the interdisciplinary team (IDT). Care Planning & Coordination Participate in interdisciplinary care plan meetings to develop individualized resident care plans. Communicate regularly with nursing, therapy, dietary, and activities staff to ensure residents psychosocial needs are met. Support residents and families in understanding medical recommendations and care options. Discharge Planning & Transitions Coordinate discharge planning, including referrals to community resources, home health, hospice, and other care settings. Educate residents and families on post-discharge needs, benefits, and available supports. Ensure safe, appropriate, and person-centered transitions of care. Compliance & Documentation Complete required documentation in accordance with federal, state, and facility regulations (MDS Section Q, progress notes, assessments, etc.). Maintain confidentiality and compliance with HIPAA regulations. Participate in audits, surveys, and quality assurance programs as needed. Resident & Family Engagement Facilitate resident and family meetings, support groups, and care conferences. Assist with grievance resolution and conflict mediation. Promote resident autonomy and involvement in decision-making. Qualifications: Education:
Bachelors or Masters degree in Social Work (BSW or MSW) from an accredited program. Licensure:
State licensure as required (e.g., LSW, LCSW, LMSW, or equivalent). Experience:
Minimum of one year of supervised social work experience in a health care or long-term care setting preferred. Skills: Strong interpersonal and communication skills. Knowledge of aging, mental health, and psychosocial needs of older adults. Familiarity with Medicare, Medicaid, and community resources. Ability to work effectively as part of an interdisciplinary team. Reports To: Administrator Work Environment: Skilled Nursing Facility (SNF) / Long-Term Care environment; may involve occasional evening or weekend hours depending on resident and family needs.
Social Worker
Long-Term Care / Skilled Nursing Facility Position Summary: The Social Worker is responsible for providing comprehensive psychosocial support to residents and their families in a long-term care or skilled nursing facility. This position focuses on promoting residents emotional well-being, assisting with adjustment to the facility, discharge planning, advocacy, and ensuring compliance with federal, state, and facility regulations. Key Responsibilities: Resident Support & Advocacy Conduct psychosocial assessments upon admission, quarterly, annually, and as needed. Provide counseling and emotional support to residents and families to assist with adjustment to long-term care and life transitions. Advocate for residents rights, dignity, and quality of life. Address behavioral, emotional, and social concerns in collaboration with the interdisciplinary team (IDT). Care Planning & Coordination Participate in interdisciplinary care plan meetings to develop individualized resident care plans. Communicate regularly with nursing, therapy, dietary, and activities staff to ensure residents psychosocial needs are met. Support residents and families in understanding medical recommendations and care options. Discharge Planning & Transitions Coordinate discharge planning, including referrals to community resources, home health, hospice, and other care settings. Educate residents and families on post-discharge needs, benefits, and available supports. Ensure safe, appropriate, and person-centered transitions of care. Compliance & Documentation Complete required documentation in accordance with federal, state, and facility regulations (MDS Section Q, progress notes, assessments, etc.). Maintain confidentiality and compliance with HIPAA regulations. Participate in audits, surveys, and quality assurance programs as needed. Resident & Family Engagement Facilitate resident and family meetings, support groups, and care conferences. Assist with grievance resolution and conflict mediation. Promote resident autonomy and involvement in decision-making. Qualifications: Education:
Bachelors or Masters degree in Social Work (BSW or MSW) from an accredited program. Licensure:
State licensure as required (e.g., LSW, LCSW, LMSW, or equivalent). Experience:
Minimum of one year of supervised social work experience in a health care or long-term care setting preferred. Skills: Strong interpersonal and communication skills. Knowledge of aging, mental health, and psychosocial needs of older adults. Familiarity with Medicare, Medicaid, and community resources. Ability to work effectively as part of an interdisciplinary team. Reports To: Administrator Work Environment: Skilled Nursing Facility (SNF) / Long-Term Care environment; may involve occasional evening or weekend hours depending on resident and family needs.