Social Worker

Milton Nursing and Rehab Center - Milton Nursing and Rehabilitation Center is looking for a full time Social Worker to join our team  The Social Worker provides medically related social services to assigned caseload that assist the residents to attain or maintain the highest practicable physical, mental and psycho-social well-being. Services provided meet professional standards of social work practice, consistent with state and federal laws and regulations. Guides facility staff in matters of resident advocacy, protection and promotion of residents' rights. POSITION DETAILS: Typically a day shift hours Monday - Friday position with occasional weekend/holidays as necessary.  Daily, weekly or bi-weekly pay options  Health, dental, vision benefits Aflac insurance opportunities 401k with employer match PTO/SICK time 6 paid holidays ESSENTIAL DUTIES AND RESPONSIBILITIES: Gathers information and conducts pre-admission screening of individuals seeking admission to the facility, including persons with mental illness and mental retardation, according to facility admission criteria, as assigned. Completes and updates social service assessments for assigned residents as part of the comprehensive resident assessment process. Assessments identify residents with current needs for social service interventions to improve or maintain functional abilities and those residents at risk of psycho-social deterioration. Completes assigned sections of the RAI (MDS, Triggers, RAPs) in a timely manner per established schedule. Act as Care Plan Coordinator as assigned. Interviews residents, interested family members, legal representatives and significant others to obtain and update information needed to develop individualized plans of care and to protect and promote residents' rights. Works cooperatively with members of the interdisciplinary team to develop, implement and evaluate plan of care. Attends care conferences as assigned. Communicates resident concerns and responses to interventions to interdisciplinary team members and direct care staff. Audits clinical records of residents on a regular basis to monitor resident responses to care and treatment and to identify concerns about Resident Rights. Acts as role model for direct care staff in matters of protecting and promoting residents' rights. Suggests approaches and methods of interacting with residents that maintain and enhance the person's dignity and individuality. Assists direct care staff with behavioral assessments and development of alternative approaches that minimize or eliminate use of physical and chemical restraints. Provides or arranges for social work counseling services as needed to attain or maintain highest practicable mental and psycho-social well-being. Records progress notes in the clinical record including subjective findings, objective symptoms, observations of behavior, interventions provided to resident and residents’ responses to interventions. Identifies ways to accommodate residents’ choices, preferences and customary routines. Includes these approaches in plan of care and gives this information to direct care staff. Gives residents and prospective residents, family members and legal representatives information about the resident’s rights under state law to make choices about health care decisions and about eligibility for Medicare and Medicaid benefits. Provides information, about community resources for legal, financial, mortuary and other services. Intervenes on behalf of residents as needed. Assists with applications for benefits and procurement of services, clothing, and personal care items from community sources outside the facility. Examples include, but are not limited to dental/denture care, pediatric care, eye care, hearing services, assistive devices and equipment, talking books, absentee ballots and transportation services. Maintains ongoing contact with interested family members, legal representatives with consent of resident to inform them of changes in condition, discharge planning efforts, and to encourage family participation in developing plan of care. Evaluates assigned residents for discharge potential. Provides discharge planning services when discharge is anticipated that reflects the residents and family's preferences for care, coordination of post discharge care and services, including transportation, and how the resident will access and pay for services. Prepares discharge summary for resident’s record that is available, with consent of resident, for release to authorized persons and agencies. Assists with preparation for long term care survey. Conducts compliance rounds, attends survey training and interacts with state surveyors as instructed. Essential Education/Training/Work Experience:  Education: Bachelors, masters or doctoral degree from an accredited school or program in Social Work, Social Welfare, or related field.  Certificate/Licenses: Current Social Work license preferred but not required. Work Experience: One year social work experience working directly with individuals in a health care setting. Gerontology experience is strongly preferred.