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

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