Director of Social Work
Plaza Health
Job Title: Social Worker
Department: Social Services
Reports To: Administrator
Position Summary
The Social Worker is responsible for providing psychosocial support to residents and their families, promoting residents’ emotional well-being, and assisting with adjustment to long-term care placement. This role ensures compliance with federal, state, and local regulations and supports resident rights, care planning, discharge planning, and quality of life.
Essential Duties and Responsibilities
Resident & Family Support
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Conduct psychosocial assessments upon admission and as needed thereafter
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Provide counseling and emotional support to residents and families
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Assist residents with adjustment to illness, disability, and placement
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Advocate for resident rights and dignity at all times
Care Planning & Interdisciplinary Collaboration
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Participate in interdisciplinary care plan meetings
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Develop and implement psychosocial care plans
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Communicate resident needs to nursing, therapy, dietary, and administration
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Monitor and update care plans based on resident condition and needs
Discharge Planning
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Coordinate safe and appropriate discharge planning
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Arrange community resources, home services, and equipment
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Educate residents and families on discharge options and post-discharge care
Compliance & Documentation
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Maintain accurate, timely, and compliant documentation in the medical record
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Ensure compliance with CMS, state, and facility policies
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Assist with grievance resolution and complaint investigations
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Support survey readiness and participate in audits as needed
Behavioral & Crisis Management
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Identify behavioral or psychosocial concerns and intervene appropriately
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Collaborate with mental health providers as needed
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Assist with crisis intervention and conflict resolution
Qualifications
Education
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Bachelor’s degree in Social Work (BSW) required
Licensure / Certification
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Current state Social Work license or eligibility (as required by state law)
Experience
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Experience in long-term care or healthcare setting preferred
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Knowledge of geriatric populations and psychosocial needs
Skills & Competencies
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Strong communication and interpersonal skills
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Knowledge of resident rights and CMS regulations
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Ability to work effectively in an interdisciplinary team
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Strong organizational and documentation skills
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Compassionate, patient-centered approach
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