Medical Social Worker (MSW) - Nursing Home jobs in Altoona, PA

Description

We are seeking a compassionate Social Worker to join our team looking to be a part of our Mission. The Social Worker will be responsible for resident assessments, creating and implementing a treatment plan in consultation with other departments, coordinating outside agencies and resources when necessary and evaluating and monitoring the resident for changes. The social worker will serve as the resident’s advocate and will speak for the resident to receive the highest quality of care and services even when he/she is unable to. This position will act as a liaison between the facility and the families, providing effective communication.

ESSENTIAL JOB FUNCTIONS

• Assess the resident and gather information from both the resident and family to develop a comprehensive care plan.
• Complete all scheduled resident assessments timely and accurately in accordance with the RAI manual. Identifies cognitive, communicative, behavioral, and psychosocial needs or concerns through the assessment process and implements individualized care plans to address the identified strengths and weaknesses with measurable goals and appropriate interventions.
• Maintain informative and accurate progress notes, adhering to professional standards regarding completion of MDS assessments, discharge planning, referrals to outside entities, psychiatric/psychology visits, service(s) provided and the resident's response to such service(s) and any resident/family concerns requiring intervention by Social Service staff.
• Provide appropriate referrals to families and residents for outside services, including Medicare/Medicaid and other financial support services or social support services available within the community.
• Participate in both the admission and discharge process following all proper procedures.
• Communicate in an effective and efficient manner both within and outside the department for the highest level of quality care for the residents.
• In the absence of the Director, assume authority over the department.
• Work in a proactive, efficient manner, always seeking to standardize work methods.
• Assist in developing a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident and the goals to be accomplished for each problem/need identified. Ensuring proper communication with all.
• Review nurses' notes to determine if the care plan is being followed. Report problem areas to the RNAC.
• Review and revise care plans and assessments as necessary, but at least quarterly.
• Review complaints and grievances made by the resident and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures.
• Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the status of the complaint.
• Provide residents with information concerning resident rights, living wills, etc. Explain as necessary.

Qualifications