Social Worker - PT

Responsible for promoting the psychosocial well-being, dignity, and quality of life of residents by assessing emotional, social, and environmental needs and coordinating appropriate support services. Collaborate with residents, families, care teams, and community resources to develop individualized care plans, facilitate care transitions, advocate for resident rights, and provide counseling and crisis intervention as needed. Ensure compliance with applicable regulations and documentation requirements while fostering resident adjustment, independence, and overall quality of life. Occasionally assist with home health services and patient care activities in the home setting as needed to support organizational and patient care needs.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Conduct psychosocial assessments to evaluate residents' emotional, social, financial, cognitive, and environmental needs.
• Develop, implement, and periodically update individualized care plans based on assessment findings and resident goals.
• Participate in interdisciplinary care plan meetings and collaborate with nursing, therapy, dietary, and medical staff to ensure comprehensive resident care.
• Provide ongoing counseling and emotional support to residents and their families related to illness, adjustment to long-term care, aging, disability, and end-of-life concerns.
• Assist residents and families in understanding diagnoses, treatment plans, available services, and healthcare resources.
• Promote residents' rights, dignity, individuality, and quality of life in accordance with facility policies and applicable regulations.
• Advocate for residents' preferences and ensure their wishes are incorporated into care planning and decision-making processes.
• Facilitate communication between residents, families, physicians, and facility staff to address concerns and improve resident satisfaction.
• Assist with admission, transfer, and discharge planning to ensure continuity of care and appropriate utilization of community resources.
• Coordinate referrals to community agencies, support services, financial assistance programs, hospice providers, and other external resources as needed.
• Provide intervention and support during crisis situations involving emotional distress, behavioral concerns, family conflict, abuse allegations, neglect, or other psychosocial issues.
• Investigate, document, and report concerns related to abuse, neglect, exploitation, or mistreatment in accordance with facility policies and regulatory requirements.
• Provide grief counseling and bereavement support to residents, families, and staff as appropriate.
• Assist residents and families with advance directives, healthcare decision-making, and end-of-life planning.
• Maintain accurate, timely, and complete documentation of assessments, interventions, care plans, resident progress, and discharge planning activities.
• Ensure compliance with all federal, state, and local regulations governing long-term care social services and resident rights.
• Prepare required reports and documentation for surveys, audits, interdisciplinary meetings, and regulatory reviews.
• Educate residents, families, and staff regarding psychosocial issues, resident rights, community resources, and available support services.
• Participate in quality improvement initiatives designed to enhance resident care, quality of life, and social service outcomes.
• Maintain confidentiality of resident information and comply with HIPAA and all applicable privacy requirements.
• Support resident participation in facility programs, activities, and community engagement opportunities that promote psychosocial well-being.
• Perform other duties as assigned to support resident care, facility operations, and regulatory compliance.
• Coordinate and facilitate resident and family care conferences, ensuring concerns, goals, and care needs are addressed and documented appropriately.
• May occasionally support home health operations through care coordination, patient and family support, community resource referrals, and other social service functions as assigned.
• May occasionally support home health operations through care coordination, patient and family support, community resource referrals, and other social service functions as assigned.

OTHER SIGNIFICANT REQUIREMENTS:

• Work well with other employees.
• Maintain confidentiality on a daily basis.
• Perform other functions and tasks as assigned.

---

WHY EHD?

PEOPLE FIRST
Our staff is our most valued asset. Electra Hospital District operates eleven businesses that work as a team to provide complete continuity of care for our patients. We know that people make the difference and consider our team members the best in the business.

BENEFITS & COMPENSATION
It takes the best of the best to provide superior patient care. Our employees make a difference in our quality care, and we reward them for their dedication. We offer competitive, market-driven compensation and benefit plans.

CULTURE & SUPPORT
We believe that the best patient care comes from happy employees. At Electra Hospital District, we strive to create a family culture with open lines of communication. A dedicated employee appreciation committee provides year-round fun at all our locations.