Social Worker Eldercare

Mount Sinai Medical Center; Town of Florida (NY); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Long-term disability coverage

Healthcare spending accounts

Retirement plan

Paid time off

Pet Insurance

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing for select positions

Job summary

Mount Sinai Medical Center in New York is seeking a dedicated Social Worker to support Eldercare program enrollment and ongoing care planning. You will work closely with the interdisciplinary team to assess needs, develop care plans, and facilitate admissions and transitions to contracted facilities.

You will provide counseling, education, and advocacy to participants and families, coordinate community resources, and help with advanced directives and benefit applications as part of a

Qualifications

• MSW degree from CSWE-accredited school
• BLS or CPR certification required
• Two years of social work experience on an interdisciplinary team in a hospital/long-term care setting

Responsibilities

• Perform in-person initial assessments for eldercare enrollment to obtain psycho-social history
• Collaborate with IDT to develop care plans
• Conduct six-month reassessments of enrolled participants
• Attend IDT meetings and coordinate 24-hour care delivery
• Act as liaison with participants, caregivers, and community agencies
• Provide ongoing support, counseling, and education to participants and families
• Present requests to IDT for admissions/discharges to contracted facilities
• Facilitate meetings to clarify care plans and problem-solve issues
• Provide referrals to subsidized housing and assisted living; assist with tours
• Initiate referrals to external resources and advocate for participants
• Assist with Advanced Directives and MDPOA, and DNR directives as needed
• Assist with SSI/SSDI applications
• Assist with disenrollment processes and referrals
• Offer emotional support, grief counseling, and end-of-life planning referrals
• Participate in Quality Improvement initiatives
• Adhere to Eldercare philosophy and scope of authority

Skills

Interdisciplinary team collaboration

Counseling skills

Patient advocacy

Education

Master's in Social Work

Job description

As Mount Sinai grows, so does our legacy in high-quality health care.

Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.

Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Department

Job Description Summary

Position Responsibilities

• Perform in-person initial assessments for enrollment of potential Eldercare participants to obtain a complete psycho-social history, to include: descriptions of cognitive status, social supports, family dynamics, mental health and substance dependency, and other current issues and needs.
• Collaborate with the interdisciplinary team to develop a comprehensive care plan for each participant.
• Conduct in person reassessments of enrolled participants every six months and as needed when participants’ conditions change.
• Maintain regular attendance at and participate in daily Interdisciplinary Team meetings, communicate participant changes and collaborate with team members in care planning decisions and coordination for 24 hour care delivery.
• Act as liaison with participant, caregivers, and community agencies regarding orientation to and ongoing relations with Interdisciplinary Team, day center, and other Eldercare staff.
• Provide ongoing support, counseling, and education to participants and family regarding a variety of issues, including but not limited to: the aging process, dementia, grief and loss, end of life, disease processes, difficult family dynamics and changing roles, Eldercare model and Eldercare health services.
• Present requests to Interdisciplinary Team (IDT) for and coordinate admission/discharge to contracted facilities for temporary respites and permanent placement.
• Act as facilitator for meetings with participant, family, caregivers, and community agencies to clarify or problem solve issues, including plan of care. Mediate discussions between all parties
• Provide referrals to subsidized housing and assisted living residences. This may involve completing applications, obtaining medical records, accompanying participants to interview assessments and tours if participant has no other support systems.
• Initiate referrals to external resources with community agencies such as Adult Protective Services, Housing Authority, or public utility companies. Advocate for participants with these entities for purposes of maintaining community stability.
• Assist participants and caregivers to complete Advanced Directives, Medical Durable Power of Attorney (MDPOA), Proxy, and Do Not Resuscitate (DNR) directives as needed.
• Assist participants with Social Security Income (SSI) and Social Security Disability Insurance (SSDI) application process as needed.
• Assist participants disenrolling from Eldercare in coordinating insurance and referrals for other community or facility based services as desired by the participant.
• If end of life care is appropriate, actively provide emotional support, grief counseling, education, and funeral/financial planning referral. Facilitate end of life or nursing home placement as needed.
• Participate in and support Quality Improvement initiatives
• Act only within the scope of his or her authority to practice.
• Know and adhere to philosophy and goals of Eldercare

Qualifications

• License/Registration/Certification
  • BLS or CPR certification required.
• Education
  • Masters in Social Work Degree from an accredited school of social work by the Council on Social Work Education.
• Experience
  • Two years of social work experience working on an interdisciplinary team in a hospital, nursing home or community-based setting is desired and one year working with a frail and elderly population.

Benefits

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions and more!