Medical Social Worker (Geriatric, Nursing Home) - YZ11

Position Title: Medical Social Worker Location: Sin Ming, Nearest MRT Bright Hill Working Days: Monday - Friday Working Hours: 8.30am - 6pm Salary: $5,000 – $6,500 Key Responsibilities 1. Intake, Assessment and Admission Support • Partner with Nursing staff to conduct intake screening for prospective residents/clients. • Perform psychosocial assessments covering residents' and families' social, emotional, financial, caregiving and support needs. • Identify residents and families requiring ongoing psychosocial support. • Participate in pre-admission and admission assessments. • Support newly admitted residents and families during admission. • Conduct InterRAI assessments and related evaluations. • Document assessments, interventions and care plans in the designated systems. 2. Casework, Counselling and Care Management • Provide counselling and psychosocial interventions to residents and families. • Conduct case management and coordinate referrals to community resources, healthcare providers and government agencies. • Provide information on government schemes, financial assistance and community support services. • Follow up on financial assistance applications where required. • Manage assigned caseloads and maintain case documentation. 3. Advance Care Planning (ACP) • Facilitate and document Advance Care Planning (ACP) discussions. • Conduct ACP facilitation sessions as required. • Support ACP implementation for long-term residents. • Provide information on Lasting Power of Attorney (LPA) where applicable. 4. Discharge Planning and Care Transition • Develop and implement discharge and transition plans with the multidisciplinary team. • Coordinate referrals to nursing homes, community hospitals, hospices, home care services and relevant agencies. • Support discharge planning and long-term placement arrangements. 5. Respite Care Coordination • Assess respite care referrals. • Coordinate admissions, assessments and care planning. • Support placement planning and discharge arrangements. 6. Crisis Intervention • Conduct risk assessments and interventions for:Suicide riskFamily violenceCaregiver burnoutGrief-related situations • Develop intervention plans and provide family mediation where required. 7. Palliative Care and Bereavement Support • Facilitate End-of-Life (EOL) discussions. • Document end-of-life care preferences. • Coordinate funeral arrangements where required. • Provide bereavement support and referrals. 8. Resident Engagement • Facilitate group programmes and support groups. • Organise resident committee meetings. • Support resident engagement activities and community programmes. 9. Multidisciplinary Collaboration • Participate in multidisciplinary meetings and case conferences. • Collaborate with healthcare institutions, community agencies and service providers. 10. Administration • Maintain records, reports and documentation. • Support quality improvement initiatives and departmental projects. • Participate in professional development activities. 11. Other Duties • Attend to enquiries and service referrals. • Perform other duties assigned by Management. Job Requirements • Bachelor Degree in Social Work / BA (Major in Social Work) / Graduate Diploma in Social Work. • Registered Social Worker with the Social Work Accreditation and Advisory Board (SWAAB). • 3–5 years of relevant experience, preferably in a hospital or community hospital setting. • Experience working with elderly and people with dementia. • Certification as an Advance Care Plan Facilitator is an advantage. Tan Yen Zhen (Chen Yan Zhen) Reg No: R25138932 The SupremeHR Advisory Pte Ltd EA No: 14C7279