Connected Health Care
Contract Social Worker (SNF)
Connected Health Care, Minneapolis, Minnesota, United States, 55400
The Social Worker plays a vital role in supporting residents and their families throughout their stay in our skilled nursing facility. Working independently or in collaboration with the Case Manager RN , the Social Worker develops comprehensive post-acute care and discharge plans for residents who face personal, social, or environmental barriers to recovery and overall well-being.
What You’ll Do Develop and implement individualized discharge and post-acute care plans in collaboration with the interdisciplinary team.
Support residents and families in navigating the transition from skilled nursing care to home or other care settings.
Screen, assess, and provide resources related to social determinants of health (transportation, housing, food insecurity).
Serve as an expert on community and social service resources available to residents and families.
Coordinate referrals to Behavioral Health services as appropriate for counseling or outpatient care.
Provide education and support around housing stability, food access, and other essential needs.
Coordinate transportation arrangements for residents’ medical or personal appointments.
Assist families in understanding the emotional and practical implications of the resident’s medical condition and recovery process.
Conduct financial assessments and connect residents/families to applicable financial or community assistance programs.
Arrange for in-home care services, durable medical equipment (DME), and community-based supports as needed for safe discharge.
What You’ll Need Education: Bachelor’s Degree in Social Work required; Master’s Degree in Social Work (MSW) preferred.
Licensure: California Licensed Clinical Social Worker (LCSW) required.
Experience: Three (3) to five (5) years of social work experience in a healthcare or skilled nursing setting preferred.
Strong communication, assessment, and advocacy skills.
Compassionate and professional demeanor with the ability to work collaboratively across care teams.
Job Details Position Type: Contract
Setting: Skilled Nursing Facility (not a hospital)
Shift: Full-time, Day Shifts
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What You’ll Do Develop and implement individualized discharge and post-acute care plans in collaboration with the interdisciplinary team.
Support residents and families in navigating the transition from skilled nursing care to home or other care settings.
Screen, assess, and provide resources related to social determinants of health (transportation, housing, food insecurity).
Serve as an expert on community and social service resources available to residents and families.
Coordinate referrals to Behavioral Health services as appropriate for counseling or outpatient care.
Provide education and support around housing stability, food access, and other essential needs.
Coordinate transportation arrangements for residents’ medical or personal appointments.
Assist families in understanding the emotional and practical implications of the resident’s medical condition and recovery process.
Conduct financial assessments and connect residents/families to applicable financial or community assistance programs.
Arrange for in-home care services, durable medical equipment (DME), and community-based supports as needed for safe discharge.
What You’ll Need Education: Bachelor’s Degree in Social Work required; Master’s Degree in Social Work (MSW) preferred.
Licensure: California Licensed Clinical Social Worker (LCSW) required.
Experience: Three (3) to five (5) years of social work experience in a healthcare or skilled nursing setting preferred.
Strong communication, assessment, and advocacy skills.
Compassionate and professional demeanor with the ability to work collaboratively across care teams.
Job Details Position Type: Contract
Setting: Skilled Nursing Facility (not a hospital)
Shift: Full-time, Day Shifts
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