Medical Social Worker (Pasir Ris Nursing Home)

The Nursing Home is committed to a Person-Centred Care model, aiming to transform care environments to promote genuine human connection and resident empowerment for our seniors. The Senior Medical Social Workers are integral to this model, providing psychosocial and financial assessments, casework, and interventions. They also collaborate with the multi-disciplinary team of stakeholders to review individual residents medical, nursing, therapy, and social aspects as part of delivering person-centric care. This support is crucial throughout the residents journey, from their admission to their entire stay in the Home.

In addition, Senior Medical Social Workers provide supervision and mentorship for the Medical Social Workers, executives and interns in the department. They also lead projects and initiatives within the Home and across the Residential Care Division to improve the care of the residents.

You will need to:

Admissions

1. Screen referrals from AIC and work with the nursing teams and relevant stakeholders to assess suitability of the referral.

2. Co-ordinate and complete onsite referral assessment for any care concerns, if necessary.

3. Provide supervision and support to the case management executive(s) and care concierge to complete the pre-admission processes.

Case work and clinical interventions

1. Work with the Multi-disciplinary team and next of kin to ease the resident's transition and adaptation to the new living environment.

2. Provide bio-psychosocial spiritual (BPSS) assessments and evaluate resident's financial status, and to develop comprehensive care plans with the Multi-disciplinary team.

3. Provide psychosocial interventions and counselling support to the resident and/or their next of kin, and facilitate communication and visits to preserve family bonds.

4. Facilitate family conference and conversation for discussion on care planning eg discharge, advance care planning, lasting power of attorney, deputyship; optimising family involvement in residents care journey.

5. Provide caregiver support resources to support families where required.

6. Manage complex social cases independently, collaborating with community stakeholders to support the overall wellbeing of the resident.

7.Review supporting documents for referral to other care options and collaborate with multi-disciplinary team for assistive equipment as recommended by the therapist where required as part of discharge planning.

Financial Assistance Schemes

1. Work with resident or next-of-kin on assessing eligibility for subsidies and financial conside

rations

2. Review cases and facilitate meetings for cases requiring financial assistance (deviation, Medifund, MFEC - complex cases)

3. Guide and assist Medical Social Worker and case management executives in applying Means Test, AIC Long Term Care schemes, MFEC - straightforward cases)

Reports and administrative duties

1. Work with Case management executive to ensure residents profile and movement are updated in database(s)

2. Review next-of-kin details and update residents social report.

3. Collaborate with Finance to review residents accounts receivable status when required.

4. Manage and supervise team members in case management team

5. Collaborate with the Centre Director and other Medical Social Workers to conduct regular reviews of departmental workflows and processes

Team leadership and mentorship

1. Provide clinical supervision for social work interns on placement

2. Provide clinical and mentorship for peers in the team and across the Residential Care Division

3. Lead continuous improvement projects and initiatives to improve the health and wellbeing of the residents

Qualifications

You should:

• Have a degree or Post Graduate Diploma inSocial Work
• Be registered with Singapore Association of Social Workers (SASW)
• Social work in healthcare background preferred
• Have at least 5 years of relevant experience in intermediate and long term care settings
• Good interpersonal and problem-solving skills
• Caring, positive, compassionate and self-disciplined individual
• Have experience in leading and supervising a team of medical social workers and executives.
• Lead and participate in clinical projects and initiatives for continuous improvements
• Proficient in Google Workspace (i.e. Gmail, Google Docs, Sheets, Slide)