Resident-Centered Social Worker & Care Planner

Atlas Healthcare, LLC; Freneau (NJ); On-site; USD 52,000 - 76,000; Full time

Job summary

Atlas Healthcare, LLC is seeking a dedicated social worker to plan for pre-admission and discharge, conduct psycho-social assessments, and complete essential MDS sections. The role emphasizes person-centered care, holistic well-being, and collaboration with an interdisciplinary team to support residents in a respectful, growth-oriented environment.

The successful candidate will counsel residents and families, advocate for residents’ rights, and connect them with community resources to enhance

Qualifications

• Experience in social work within long-term care or hospital settings.
• Familiarity with the Minimum Data Set (MDS) assessment process and relevant sections.
• Strong communication and counseling skills with residents and families.

Responsibilities

• Plan for pre-admission and discharge.
• Provide psycho-social assessment and complete relevant MDS sections (A, AA, AB, AC, E, F, Q).
• Utilize MDS data to guide the care plan.
• Respect the worth and uniqueness of each individual.
• Treat each individual with respect.
• Create an atmosphere of growth for the individual.
• Adopt a holistic view of well-being (social, psychological, physical, spiritual).
• Provide a supportive physical environment.
• Foster positive self-image through social contact and independence.
• Participate in resident care planning as part of the interdisciplinary team.
• Counsel residents and families; connect to community resources as needed.
• Advocate for and protect residents' rights.
• Ensure social and emotional needs of residents are met.
• Stimulate social contact and interaction.
• Promote maximum independence for each resident.

Skills

Planning

Psycho-social assessment

MDS guidance

Advocacy

Interdisciplinary teamwork

Resident rights

Job description

Atlas Healthcare, LLC is seeking a dedicated social worker to plan for pre-admission and discharge, conduct psycho-social assessments, and complete essential MDS sections. The role emphasizes person-centered care, holistic well-being, and collaboration with an interdisciplinary team to support residents in a respectful, growth-oriented environment.

The successful candidate will counsel residents and families, advocate for residents’ rights, and connect them with community resources to enhance