Social Worker

Position Summary

The Social Worker in a Skilled Nursing Facility (SNF) is responsible for supporting residents’ psychosocial well-being by providing counseling, discharge planning, and coordination of services. This role ensures compliance with federal and state regulations while advocating for residents’ rights, dignity, and quality of life.

• Key responsibilities
• Conduct psychosocial assessments for residents upon admission and as needed
• Develop, implement, and update individualized care plans in collaboration with the interdisciplinary team
• Provide counseling and emotional support to residents and their families
• Facilitate discharge planning, including coordination with community resources and services
• Assist residents and families with adjustment to illness, disability, and long-term care placement
• Advocate for residents’ rights and address grievances or concerns
• Maintain accurate and timely documentation in compliance with regulatory standards
• Coordinate with physicians, nursing staff, therapy teams, and external agencies
• Assist with advance directives, guardianship issues, and end-of-life planning
• Participate in care plan meetings and quality improvement initiatives
• Ensure compliance with CMS, state, and facility policies

Qualifications

• Bachelor’s Degree in Social Work (BSW) required; Master’s Degree (MSW) preferred
• Current state licensure (e.g., LSW/LCSW) as required
• Minimum of 1–2 years of experience in healthcare, preferably in a SNF or long-term care setting
• Knowledge of Medicare, Medicaid, and discharge planning processes
• Strong interpersonal, communication, and organizational skills