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Job summary
Outfield Healthcare Partners is seeking a licensed social worker to identify psychosocial, mental and emotional needs of residents in a skilled nursing facility, and to aid in access to services in line with NASW code of ethics. Responsibilities include completing social histories, maintaining regulatory documentation, supporting resident self-determination, and coordinating interdisciplinary care plans and discharge planning to enhance quality of life.
Qualifications
Must be licensed, registered, or certified in the state of practice.
Bachelor’s Degree in Social Work or related field from an accredited school.
At least one year of supervised social work experience in a healthcare setting with geriatric residents.
Minimum of 2 years nursing experience in a Skilled Nursing Facility preferred.
Responsibilities
Completes social history and psychosocial assessments identifying social, emotional, and psychological needs; uses MDS outcomes to guide care plan.
Maintains accurate documentation in accordance with federal/state regulations and facility policy, including directives and care plans.
Supports resident self-determination; documents refusals and educates on alternative options.
Develops interdisciplinary care plans addressing psychosocial needs and goals.
Provides therapeutic support for residents’ transition and adjustment to long-term care.
Coordinates discharge planning and referrals for home care services prior to community return.
Works with the team to protect resident rights and well-being and to address abuse as required by law.
Assists families and residents with information and education about placement and services.
Skills
Licensed Social Worker
Geriatric Care
Clinical Documentation
Interdisciplinary Team
Education
Bachelor’s in Social Work or Human Services
Job description
Outfield Healthcare Partners is seeking a licensed social worker to identify psychosocial, mental and emotional needs of residents in a skilled nursing facility, and to aid in access to services in line with NASW code of ethics. Responsibilities include completing social histories, maintaining regulatory documentation, supporting resident self-determination, and coordinating interdisciplinary care plans and discharge planning to enhance quality of life.