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. Conduct psychosocial assessments to identify patient's needs, strengths and challenges in their home and in the community.
. Collaborate with patients, families and relevant organisations to develop and implement individualized care plans that facilitate the transition from healthcare facility to home.
. Actively participate in multi-disciplinary team meetings to discuss and coordinate patients care.
. Organise and participate in case conferences with relevant organizations and community agencies to enhance patient care and service coordination.
. Provide emotional support and counselling services to patients and their families, addressing concerns and fostering resilience.
. Conduct group sessions for patients or caregivers to provide shared learning and support.
. Assist patients and their families in accessing available community services and support to meet their needs.
. Conduct home visits and follow-up sessions to address ongoing concerns and monitor progress.
. Maintain accurate and timely documentation of patient's care plans, interventions and coordination efforts within medical systems, ensuring compliance with healthcare regulations.
. Implement and support initiatives and programmes to enhance the care and support of patients and their caregivers within the community.
Job Requirements:
. Degree in Social Work, preferably with 1 to 2 years social work experience.
. Experience in a healthcare or Social Services Agencies will be advantage.
. Registration with Social Work Accreditation Board is preferred
. Must have an interest in working with seniors and their caregivers.
. Must be able to work independently.
Date Posted: 27/08/2025
Job ID: 124884405