Social Worker Long Term Care

Responsible for providing direct and comprehensive social work services to adult and geriatric populations within a nursing home setting.

include the following: completed pre-admission screening, performs resident assessments and develops a treatment plan, provides direct care and counseling to residents and families, leads the interdisciplinary resident care conferences, provides education to residents, family and staff regarding psychosocial issues and needs of the residents. This position also coordinates and facilitates communication among medical staff, members of the interdisciplinary team and the residents/families.

Evaluates residents quarterly for appropriate discharge to the less restrictive environment and facilitates discharge planning to meet resident needs. Participates in performance improvement and adheres to and practices according to SJH Corporate Compliance Program.

• Direct the Provision of Direct Services
• Participates in the pre-admission screening process. Obtains comprehensive social history and develops an age and developmentally appropriate treatment plan. Treatment plan includes individualized approaches to behavioral expression of unmet needs to minimize use of psychotropic medications and promotes quality of life.
• Schedules and co-directs resident care conferences ensuring that all aspects of resident care is discussed.
• Counsels families and residents during the admission process regarding advance directive and patient/residents rights. · Provides therapeutic counseling for issues such as: adjustment to facility; loss/grief; debilitating conditions; emotional support, and crisis interventions.
• Provides family education on dementia and behavioral expressions of unmet needs and communication techniques for residents with dementia.
• Assesses residents receiving psychotropic drugs and makes recommendations with other members of the IDT regarding alternative, continuation of treatment, and behavioral interventions. Conducts a behavioral health assessment for residents on psychotropic medications.
• Communicates with members of IDT regarding residents' and family's psycho/social/emotional/developmental needs. Plans and communicates to staff the age and developmentally appropriate social interventions and approaches to meet these needs. Provides staff education on psychosocial issues both formally and informally. Discharge Planning
• On admission and quarterly, evaluates with the IDT appropriateness for discharge.
• Provides residents and families with resources which will assist them in going home or to a less restrictive environment.
• Directs IDT discharge planning meetings with resident, family, IDT, and community resources to facilitate a smooth transition. Other Duties
• Completes all required documentation in a timely and accurate manner.
• Is knowledgeable and adheres to federal, state, and accreditation standards in providing social services to the residents and their families.
• Participates in the Performance Improvement program. This would include: tracking use of psycho-active medications for residents with dementia and other projects as assigned.
• Develop and maintain a comprehensive community resource file for information and referral in meeting resident and family needs.
• Assists residents and families in working with other community agencies and acts as a liaison with other said agencies. Job Requirements Minimum Education Required: Master's degree in Social Work with provisional clinical license. Preferred: License in clinical social work (LCSW). Minimum Work Experience Required: At least 6 months experience in a health care setting. Preferred: Two years experience in a long term care setting. Required Licenses: PCSW or LCSW preferred Functional Demands Working Conditions Clinical setting. Stressful conditions and many interruptions. Involves care of residents and families with complicated medical/psychosocial conditions. Must be on-site at the SJH campus or other facilities to fulfill the responsibilities of this role. Physical Requirements Considerable walking, intermittent sitting, standing and computer use. Frequent phone use. Direct Reports: None Reports to: Executive Director of Senior Living Internal & External Contacts: All hospital departments, physicians, residents, family members, community agencies, community members, volunteers and visitors. Leadership Capabilities Approachability
• Is easy to approach and talk to
• Spends the extra effort to put others at ease
• Builds rapport well Composure
• Avoids becoming defensive or irritated when times are tough
• Maintains balance when the unexpected happens Initiative
• Doesn’t wait for others to tell him/her what to do; sees a problem or opportunity and immediately starts moving to address it
• Finds his/her own motivation for completing work and accomplishing goals Interpersonal Skills
• Relates well to all kinds of people, up, down and sideways, inside and outside the organization
• Builds appropriate rapport
• Uses diplomacy and tact Listening
• Practices attentive and active listening
• Has the patience to hear people out Patient Focus
• Is dedicated to meeting the expectations and requirements of patients
• Gets firsthand patient feedback and uses it for improvements
• Establishes and maintains effective relationships with patients and gains their trust and respect

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