Social Worker,
St. Ann's Community - Rochester, NY

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Job Purpose

The primary purpose of your job is to provide social work services to residents, patients and their families at admission, during placement and at time of discharge.

Job Functions

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Every effort has been made to identify the essential functions of this position (signified by an asterisk). However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is an essential function of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Performance Outcomes
· Coordinates the admission of new residents/patients and assists in the initial adjustment
of the resident/patient and family/significant others to include
· Reviews the admission packet with the resident/patient and significant others. The packet includes the resident rights, notification procedures, family contact form, services provided and safety procedures
· Orients the resident/patient and significant others to the facility, addressing any needs or concerns regarding the resident/patient adjustment
· Provides social work assessments and counseling to assist residents/patients and significant others in their adjustment to the new environment
· Completes resident/patient assessments and as a member of the ICCP team develops a
Interdisciplinary Comprehensive Care Plan for each individual
· Assesses resident/patient status including strengths, coping mechanisms, personal goals, progress towards goals, significant relationships, and problem areas
· Develops a plan with the ICCP team that addresses the resident’s/patient’s problem areas and goals
· Ensures that resident/patient and significant others are involved in the care plan process
· Provides on-going social work services to residents/patients and significant others that conform to regulatory and professional standards, NASW Code of Ethics, social work standard of practice and St. Ann’s Mission to include
· Establishes and maintains an on-going relationship with residents/patients and significant others. Assists residents/patients through this relationship to adjust to any medical, social, emotional problems which may arise
· Continually assesses the resident’s/patient’s psychosocial strengths and needs and providing counseling, support groups, emotional support and referrals to meet identified needs
· Acts as a liaison between the family and St. Ann’s staff, providing supportive services and interpreting policies and procedures
· Provides social work input to address psychosocial aspects of all resident/patient care needs such as behavioral issues, psychotropic medication use and physical/cognitive decline
· Provides resident/patient and significant others with hospice and grief counseling and support
· *Coordinates discharge planning for St. Ann’s Home
· Identifies resident/patient discharge potential and educates resident/patient and significant others of discharge options
· Makes referrals to community agencies to arrange for in home services upon discharge
· Facilitates referrals to Adult Protective if discharge is against medical advice
· Informs significant others of residents discharge to another level of care or to an acute care facility
· Discusses the facility’s bed hold policy as appropriate
· Monitors resident’s/patient’s emotional status and provides support and reassurance through the discharge process
· Assists resident/family member with discharge to another facility or lower level of care
· Maintains timely documentation of events and all required paperwork including but not limited to MDS, CAAS, ICCP
· Coordinates resident/patient group meetings including Resident Council, and family/resident/patient support and informational groups
· Coordinates the transportation needs for residents/patients on an as needed basis
· Assists resident/family and significant others in making application to MCDSS for Medicaid and provides interpretation and assistance with health related forms
· Provides supervision of social work students from area colleges
· Facilitates the application of Resident’s/Patient’s Rights in daily care issues.
· Provide rotating weekend social work coverage
· Performs tasks as assigned by the Manager.
Core tasks include the following
· Reliable, dependable and punctual in use of work time.
· Demonstrates initiative and cooperation in professional working relationships.
· Complies with applicable organizational policies and procedures (ie mandatory education, health requirement, HR requirements).
· Demonstrates a commitment of quality through participation on improvement teams & identifying opportunities for improvement.
· Works to improve performance relative to the system’s organizational goals.
· Consistently delivers high quality service being responsive to customer needs.
· Makes practice decisions based on compliance with Federal and State Code requirements, thoughtful application of the International Nursing Code of Ethics, NASW Code of Ethics and respecting Resident Rights.
Bachelor’s degree in social work (BSW) or equivalent with two years related experience and/or training; or equivalent combination of education and experience.
Disclaimer to all current St. Ann’s Community employees
As a current employee of St. Ann’s Community, it is your responsibility to inform your manager that you have applied for this position. However, by submitting an online application, you are granting St. Ann’s Community permission to contact your current supervisor to determine eligibility for an internal transfer.

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