Social Worker

We are recruiting a talented and compassionate Social Worker for a full-time, 32-hour-per-week position. Our Social Services team is vital to the quality of life of our residents, and we value quality outcomes and collaboration. This is a great opportunity if you have the passion and dedication to work in a field that helps people.

Pay: $40.00 - $50.00 per hour, based on licensure and experience. Full-time, 32 hours per week.

Requirements

DUTIES AND RESPONSIBILITIES
• Conduct psychosocial assessments on admission, quarterly, annually, and upon significant change in condition, and develop and update individualized care plans for assigned long-term care residents.
• Complete the social services sections of the MDS 3.0 (Sections C, D, E, F, and Q) for assigned residents accurately and within RAI timeframes.
• Participate in care plan meetings and interdisciplinary team discussions, and help residents and families prepare for and take part in care planning.
• Support new long-term residents and their families in adjusting to nursing home placement, including residents transitioning from short-term rehabilitation to long-term care.
• Provide ongoing supportive counseling to residents experiencing depression, anxiety, grief, loss, or adjustment difficulties, and refer to psychiatric and psychological services as needed.
• Monitor and document resident mood and behavior; contribute to behavioral, dementia, and trauma-informed care plans; and participate in psychotropic medication and gradual dose reduction reviews.
• Ensure PASRR Level II recommendations and specialized services are reflected in the care plan and followed up.
• Advocate for residents' rights, dignity, and preferences, including choices about daily routines, activities, and care.
• Assist residents and families with advance care planning, including Health Care Proxy and MOLST, and with guardianship, conservatorship, and Rogers authorization needs under the guidance of the Director of Social Services.
• Coordinate with hospice and palliative care providers, and support residents and families through end-of-life care and bereavement.
• Assist residents and families with MassHealth applications, redeterminations, and related questions in coordination with the Business Office.
• Receive and help resolve resident and family concerns, and document and forward grievances to the Grievance Officer in accordance with facility policy.
• Serve as a mandated reporter: immediately report any suspected abuse, neglect, mistreatment, exploitation, or misappropriation of resident property to the Administrator, the Director of Social Services, and the Massachusetts Department of Public Health, as required by M.G.L. c. 111, s. 72G and facility policy.
• Assist with room and roommate changes by providing required notice and supporting residents through the move; help maintain resident personal property inventories and follow up on missing items.
• Follow up with long-term residents who express interest in returning to the community, including Section Q referrals to the local Aging Services Access Point.
• Coordinate discharges and transfers of long-term residents, including required notices, in collaboration with the Director of Social Services.
• Arrange interpreter services and culturally responsive support for residents and families whose primary language is not English.
• Support Resident Council and Family Council activities as assigned.
• Maintain accurate and timely documentation in the electronic health record in compliance with federal, state, and facility requirements.
• Participate in QAPI activities and survey readiness as assigned.
• Provide coverage for the short-term rehabilitation caseload and discharge planning when needed.
• Perform other related duties as assigned.

QUALIFICATIONS
• Bachelor's degree in Social Work (BSW) required; Master's degree in Social Work (MSW) preferred.
• Current Massachusetts social work license in good standing with the Board of Registration of Social Workers (LSW minimum; LCSW or LICSW preferred).
• One year of experience in a healthcare or long-term care setting preferred; new graduates with relevant field placement experience will be considered.
• Knowledge of federal and state regulations, including OBRA, HIPAA, and residents' rights.
• Familiarity with the MDS 3.0/RAI process, PASRR, and MassHealth long-term care eligibility.
• Understanding of dementia, mental health, and end-of-life issues affecting older adults.
• Proficiency with electronic health record systems and Microsoft Office.
• Strong communication, organizational, and interpersonal skills.
• Compassionate, resident-centered approach to care.
• Fluency in a second language common in the Cambridge community (such as Spanish, Portuguese, or Haitian Creole) is a plus.

Benefits

We offer the following:
• Competitive compensation.
• Weekly pay.
• Health, dental and vision insurance.
• Life, accidental death and dismemberment, and long-term disability insurance, 100% paid by the employer.
• 403(b) retirement savings plan through Lincoln Financial.
• Earned Time Off (ETO) - a combined paid-time-off bank for vacation, sick and personal time, plus paid holidays.
• Tuition assistance of up to $3,000 per year.
• Employee referral bonus program.
• Monthly employee recognition events.
• Free on-site parking.
• On the MBTA bus line, close to Alewife Station on the Red Line.