Social Worker

OPCO Skilled Management; Creve Coeur (MO); On-site; USD 52,000 - 72,000; Full time

Job summary

Country Villa Wellness & Rehabilitation is seeking a licensed social worker to identify psychosocial, mental, and emotional needs of residents in a skilled nursing setting. You will assess, document, and guide care planning for geriatric patients while ensuring compliance with NASW ethics and regulatory standards.

You will support resident self-determination, educate families, coordinate discharge planning, and collaborate with nursing and administration to safeguard resident well-being and

Qualifications

• Certified, licensed or registered in the state of practice, required.
• Bachelor’s Degree in Social Work or a Bachelor’s Degree in Human Services field from an accredited school of social work, required.
• One year of supervised social work experience in a healthcare setting working directly with geriatric individuals.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred.

Responsibilities

• Completes social history and psychosocial assessment for each resident identifying social, emotional, and psychological needs; uses MDS to guide care plan.
• Maintains accurate documentation compliant with regulations and center practices (e.g., Advanced Directives, MDS, Social Service history, care plans, progress notes).
• Supports resident rights to self-determination and informs about therapeutic alternatives; involves others to educate on options.
• Participates in developing an interdisciplinary care plan addressing psychosocial needs and goals.
• Provides therapeutic interventions to help residents cope with transition to long-term care and adjust socially and emotionally.
• Provides support and education to residents and families about placement and facility issues; refers to appropriate social service agencies when needed.
• Coordinates discharge planning and makes referrals for home care services prior to community return.
• Collaborates with the interdisciplinary team to promote resident rights and psychological well-being; assists in preventing and addressing abuse as required by law.
• Works with families and staff to empower self-advocacy and improve quality of life and care.
• Assists in planning, organizing, and directing social service programs; supports NH/Administration during inspections.

Skills

Social work

Geriatrics

Documentation

Interdisciplinary collaboration

Patient advocacy

Education

Bachelor's degree in Social Work or Human Services

Job description

Responsible for identifying psychosocial, mental, and emotional needs along with providing, developing, and/or aiding in the access of services to meet those needs. Services will be provided in accordance with the National Association of Social Workers (NASW) Code of Ethics, adherence to Federal, State, and Local regulations and governing agencies.

QUALIFICATIONS

• Certified, licensed or registered in the state of practice, required.
• Bachelor’s Degree in Social Work or a Bachelor’s Degree in Human Services field, including but not limited to Sociology, Special Education, Rehabilitation Counseling and Psychology from an accredited school of social work, required.
• One year of supervised social work experience in a healthcare setting working directly with geriatric individuals.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred.

RESPONSIBILITIES

• Completes social history and psychosocial assessment for each resident that identifies social, emotional, and psychological needs; Completed relevant parts of the minimum data set (MDS); Utilizes the minimum data set to guide the care plan.
• Maintains accurate and timely documentation which complies with federal/state regulations, The Company Corporate policy, and specific center practices, including, but not limited to, Advanced Directives, Minimum Data Set, Social Service History and Assessment, Raps, Care Plans, Social Service Progress Notes, Behavior Tracking, monitoring of cognitive and psychosocial changes, PASARR and Discharge Planning documentation, and psych services.
• Supports each resident’s/resident’s right to self-determination; Documents resident/resident refusal of services offered; Informs resident/resident of any therapeutic alternatives to the refused service; Involves others, as appropriate, to help educate the resident/resident about the alternatives.
• Participates in the development of a written, interdisciplinary plan of care for each resident that identifies the psychosocial needs/issues of the resident, the goals to be accomplished for those needs/issues, and the appropriate social worker interventions.
• Ensures or provides therapeutic interventions to assist residents in coping with their transition and adjustment to a long-term care facility, including their social, emotional, and psychological needs.
• Ensures or provides support and education to residents/family members/significant others to assist in their understanding of placement and facility issues in addition to referring them to the appropriate social service agencies when the facility does not provide the needed services.
• Coordinates the resident discharge planning process and make referrals for appropriate home care services prior to the resident’s return to the community.
• Work with the interdisciplinary team and administration to promote and protect resident rights and the psychological well-being of each resident. Prevent and address resident abuse as mandated by law and professional licensure.
• Work with residents, families, significant others and staff to provide support, information and organization for taking a more proactive role in self-advocacy to improve the quality of life/care for individual resident and those who live and work within the facility and the community.
• Assist the Social Service Director/Consultant in the planning, developing, organizing, implementing, evaluating, and directing of the social service programs of this facility.
• Works with Director of Nursing and Administration to prepare for inspection surveys; ability to engage in interviews by inspectors, assist in immediate corrections of problems noted by surveyors, etc. Reviews and reinforces important standards previously cited.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Country Villa Wellness & Rehabilitation provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.