Description:
** FULL-TIME ** GREAT BENEFITS ** EXCELLENT TEAM ** APPLY TODAY **

Middletown Park Rehabilitation & Healthcare is a 230-bed *TOP RATED* rated skilled nursing facility dedicated to being a premier provider in short-term rehabilitation, subacute, & long-term healthcare services & trusted by families to care for their loved ones for 30+ years. Our mission is to provide high quality care to all with respect & compassion through a team approach that focuses on personalized goals. We offer EXCELLENT benefits including Aetna Health benefits on the 1st of the month after hire, along with other key benefits!!

Sub-Acute Social Worker Job Summary

The Sub-Acute Social Worker in a Skilled Nursing Facility plays a pivotal role in ensuring the emotional, psychological, and social well-being of patients and their families. This position focuses on providing comprehensive social work services to subacute patients transitioning from acute care to rehabilitation or long-term care settings and subsequent discharge coordination, as necessary. Their primary duties include assessing patients, helping to develop appropriate treatment plans, and administering therapy directly to patients. These tasks are performed with little oversight, and of necessity, required reliance on their independent judgment. They are a learned professional and their primary duties requires knowledge of social work acquired by a prolonged course of specialized intellectual instruction as a graduate of a school of social work accredited by the Council on Social Work Education and is certified in the State of New York and has a LMSW or LCSW.

• Conduct comprehensive psychosocial assessments at admission to identify social, emotional, and environmental factors affecting care
• Evaluate mental health conditions, develop and implement individualized care plans with the interdisciplinary team
• Update psychosocial assessments and care plans regularly (e.g., every 90 days or as needed).
• Assess discharge potential, document discharge plans, and ensure they are reflected in the care plan.
• Provide direct clinical services: individual, group, family, and crisis counseling.
• Facilitate adjustment to facility life and promote resident acceptance of limitations while encouraging engagement with strengths.
• Participate in quality improvement and pre-admission evaluations to identify psychosocial risks.
• Coordinate discharge plans with external providers and agencies.
• Maintain knowledge of local community resources and refer residents/families as needed.
• Stay informed about Medicare, Medicaid, and other financial/social programs.
• Lead interventions to restore self-care capacity, enhance mental/social functioning, and promote independence.
• Serve as liaison and advocate for residents and families regarding care, facility policies, rights, and services
• Support residents and families through transition, discharge, and understanding care plans and limitations.
• Visit and interview newly admitted residents to aid emotional adjustment and compile social histories.
• Collaborate with nurses, physicians, therapists, case managers, and consultants to ensure coordinated, integrated care.
• Advise staff on residents' psychosocial needs and behavioral health concerns.
• Maintain clinical documentation in accordance with regulatory standards, HIPAA, and facility policy
• Record all social service interventions and psychosocial data in the medical record.
• Attend in-services, meetings, seminars, and trainings to stay current in gerontology, long-term care, and mental health.
• Participate in facility in-service education programs.
• Perform other related duties as required and assigned.

Requirements:

• Master's degree in Social Work (MSW) from an accredited school of social work.
• Current licensure as a Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) in New York State, required.
• Minimum of 1-2 years of social work experience in a healthcare setting, preferably in a skilled nursing facility or subacute care environment.
• Strong knowledge of psychosocial assessment, counseling techniques, care coordination, and discharge planning
• Demonstrated expertise in psychosocial assessment, discharge planning, and therapeutic intervention.
• Ability to independently manage complex caseloads and resolve issues using sound clinical judgment.
• Excellent communication, interpersonal, and organizational skills.
• Ability to work effectively as part of an interdisciplinary team and independently manage multiple priorities.
• Proficiency in electronic health records (EHR) and Microsoft Office Suite.
• Pleasant personality and ability to work with residents, families, and staff from various departments.
• Proficient in Microsoft Office.
• Ability to work well under pressure and be flexible.
• Exemplary customer service skills.

We are an Equal Opportunity Employer, celebrate diversity, & are committed to creating an inclusive work environment for all! We comply with disability laws and provides reasonable accommodations for applicants and employees. For assistance with the application, interview process, job functions, or employment benefits, contact the facility directly by calling 845.343.0801 and asking to speak to the HR Department or email us at HR@mprhc.com

• Disclaimer: This is a general job summary for advertisement purposes only. A full comprehensive job description can be provided upon request or during the hiring process.