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Social Worker Transition Unit
2 weeks ago
The Social Worker holds a leadership position in the Park Place Home and takes a lead with the interdisciplinary team through all Resident Move-In processes while also providing guidance and comfort to new Residents and their families. Provides Residents and their families with professional Social Work services by developing, implementing, and monitoring programs which meet the social, emotional, spiritual, and intellectual needs of the Residents. Is the lead for the ethics program, and annual surveys (family, Resident, and employees). Ensures a commitment to Resident safety and to our “culture of safety” as per the Strategic Directions of Park Place Seniors Living.
**TYPICAL DUTIES AND RESPONSIBILITIES**:
1. In collaboration with the clinical leadership, coordinates Move-In/Move-Out of Residents, through evaluation and assessment of each individual with respect to appropriateness of placement, ability of the Park Place Home to meet his/her identified needs, and the needs of the community.
2. In collaboration with the clinical leadership, responsible for Pathways System and/or
communication with health services’ Transition Services.
3. Provides transitional support to family and Residents upon Move-In, documenting as per Park Place policies.
4. Participates in Move-Out planning, and provides follow-up after moving out, as necessary.
5. Promotes Resident autonomy in decision-making for health care, personal, and financial
matters.
6. In collaboration with the Site Leader, assists Resident and family members to source resources in the areas of substitute decision-making, guardianship, trusteeship, Personal Directives and/or Enduring Power of Attorney.
7. In collaboration with the Site Leader, assists Residents and families in utilizing financial, legal, mental health and other community resources to enhance the quality of Resident life.
8. Contributes to the development, implementation, and evaluation of the Resident care plan as an interdisciplinary team member. Advocates on behalf of the Resident and/or family as appropriate.
9. Participates in care conferences. Assists in resolving family issues and complaints if
appropriate.
10. Completes required documentation (i.e. social history, assessment, progress notes) in a timely manner.
11. Attends and participates in appropriate committees and meetings (e.g. Leadership Team, End of Life Committee).
12. Attends applicable in-services and participates in orientation, in-service training and counseling of employees on a request basis.
13. Takes the lead in the Park Place Home’s quality improvement/performance measurement initiatives and processes including follow-up with summary and action plan implementation..
14. In collaboration with Recreation Department plans and conducts Memorial Services
15. Performs other duties as required.
16. Coordinates and participates in MDS data entry by communicating and observing the Resident, communicating with direct care staff, interdisciplinary health professionals, and family.
17. The Social Worker is responsible for both the Minimum Data Set (MDS) and the Resident Assessment Protocols (RAPs) as it pertains to Move-Ins, Move-Outs, transfers, and Social Work scope of practice.
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