Social Worker-Per Diem

Description

St. John’s is leading and inspiring a shift in society’s views of elderhood. Join our family of dedicated, talented employees who are at the forefront of innovative senior services delivery in this community. St. John’s embraces living every day by fostering a culture that is friendly, respectful, responsive, compassionate, innovative, and fun for both employees and the elders and residents who call St.

John’s home.

If this description speaks to you, continue reading about the opportunity to join our team as a Per Diem Social Worker n’s Home. This position will provide coverage based on organizational and departmental needs, with the potential to transition to a full‑time position as business needs and position availability evolve. A transition to full‑time employment is not guaranteed.

The Social Worker assesses and supports the psychosocial well‑being of elders during admission, discharge, and daily life n’s. This valuable role supports our long‑term care residents and ensures that the interdisciplinary team honors resident rights and facilitates appropriate supports in the neighborhood.

Upon admission and throughout the course of the resident’s stay, the Social Worker collaborates with the interdisciplinary team to ensure goal alignment and individualized planning based on each resident’s specific needs. This role requires a commitment to innovative solutions, elder‑directed goal setting, and ongoing support of residents and their families.

• Assess and support resident well‑being during admission, discharge, and daily life n’s.
• Provide casework and counseling services for elders and family members/responsible parties in assigned areas while advocating for resident rights, preferences, and wishes.
• Continually assess and document resident needs, including evaluation for depression, changes in mental status, anxiety, family dynamics/crises, and interpersonal interactions.
• Assist with discharge planning, transfers, and transitions by coordinating appropriate community services and completing required documentation.
• Complete appropriate referrals for Hospice, CHE Psychological Services, Elderplan, and other services as appropriate.
• Assume responsibility for designated committees, projects, or departmental initiatives as requested.
• Support the creation of meaningful elder experiences by facilitating communication among staff, elders, and families.
• Assist with the admission process by providing support as elders adjust to their new environment and completing initial assessments and required admission documentation.
• Complete required documentation for hospital transfers and internal moves within the community.
• Ensure documentation is completed in accordance with facility and regulatory agency guidelines.
• Actively participate in weekly care rounds and communicate resident changes to the appropriate members of the care team.
• Provide emotional support to elders and families during times of grief and transition.
• Complete grievance documentation and communicate concerns or complaints expressed by residents and families to the care team.
• Facilitate discharge planning meetings, initial, annual, and significant‑change family meetings, as well as other care team conferences.
• Create and regularly update comprehensive care plans and complete routine MDS assessments.

• Bachelor’s degree in social work or a related field required; MSW preferred.
• Minimum of one year of experience in a healthcare setting, with knowledge of long‑term care, insurance coverage, discharge planning, and end‑of‑life care preferred.
• Experience in gerontology and Screen certification is a plus.
• Ability to work on a per diem basis and provide coverage based on…