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Posted: 13-Nov-25
Location: Santa Fe, New Mexico
Categories:
Internal Number: 70059933
POSITION SUMMARY: The Senior Care Social Worker is an integral member of an interdisciplinary team (IDT) and provides comprehensive psychosocial needs assessments for patients and families dealing with aging and serious and/or life threatening illnesses. They help alleviate the burden on family members by assessing the patient?s and family?s economic, psychosocial, and spiritual needs, and then helping to obtain resources to meet those needs. This position also works closely with the care coordination team to ensure timely and thoughtful transitions of care. The senior care social worker will take a leadership role in the development of quality improvement initiatives that support the goals of age friendly and senior care across the care continuum. This position will work closely with our clinician group, and may be required to provide coverage in all clinic settings.
Requirements
EDUCATION: Master?s in Social Work
CERTIFICATION/LICENSES: Current social work licensure in the state of NM
SKILLS:
- Must be comfortable and effective working in teams. Provide holistic, person-centered care by partnering with patients to address individual physical, emotional, social, and spiritual needs
- Provide services in accordance with Age Friendly guidelines.
- Excellent compassionate communication skills with hospital coworkers, providers, community partners, any family or natural supports a patient has, and the patients themselves
- Establish and maintain rapport with patients, families, and other members of the health care team, identified community partners, or resources, and complete all required documentation of contact within 72 hours
- Work effectively within interdisciplinary and transdisciplinary care teams to promote a team approach to patient care
- Computer skills including Epic, Microsoft Office Suite, Outlook, and the ability to enter data and complete forms completely with minimal errors
- Work independently, and be self-motivated to meet with and assist patients in resolving complex care issues
- Complete medical record documentation to ensure quality and accuracy
- Work independently to advocate for patient care with medical providers and community resources
- Act as a resource to other staff regarding high quality community resources that support the identified population.
EXPERIENCE: Two years clinical experience in hospital, long-term care or hospice settings or working with marginalized groups. Experience in program development and leadership preferred.
NATURE OF SUPERVISION:
-Responsible to: Manager of Population Health and Director of Senior Care Services
ENVIRONMENT: Multiple settings and variable unpredictable situations including inpatient, specialty and primary care settings.
-Bloodborne pathogen: B
Exposure to infectious diseases and intermittent exposure to blood, excrements, odors and noise.
PHYSICAL REQUIREMENTS: Must be able to handle crisis situations. Has knowledge of and uses good body mechanics.
