Social Worker

Social Worker

WyndRidge Health and Rehabilitation Center

Crossville, TN

Position Summary

The Social Worker is responsible for promoting the psychosocial well-being of residents by providing emotional support, care planning, discharge coordination, and advocacy. This position works closely with residents, families, physicians, and the interdisciplinary team to ensure residents receive comprehensive, person-centered care while maintaining compliance with state and federal regulations.

Benefits

• Competitive pay

• Paperless, quick onboarding

• Comprehensive benefits (health, dental, vision, retirement plan)

• Predictable scheduling and flexibility (e.g., full-time, part-time, PRN options)

• Paid time off, holiday pay

• Generous employee referral program

• Annual performance reviews and competitive bi-annual pay reviews

• Support for personal well-being (EAP programs, mental health resources)

• Respectful, supportive leadership and strong focus on teamwork

• Optimal staff-to-patient ratios to prevent burnout

• Opportunities for advancement

• Tuition reimbursement, training programs, and CEU support

• Strong mentorship and orientation programs

• Strong school partnerships

• 360 communications for staff, residents & families

Essential Duties and Responsibilities

• Conduct psychosocial assessments upon admission and as needed throughout the resident's stay.

• Develop, implement, and update individualized care plans in collaboration with the interdisciplinary team.

• Provide emotional support, counseling, and crisis intervention to residents and families.

• Assist residents and families in understanding diagnoses, treatment plans, and available community resources.

• Coordinate discharge planning to ensure safe and successful transitions to home, assisted living, or other levels of care.

• Arrange home health services, durable medical equipment, transportation, and other post-discharge resources as needed.

• Serve as a liaison between residents, families, physicians, and facility staff to promote effective communication.

• Advocate for resident rights and ensure residents maintain dignity, independence, and quality of life.

• Assist with advance directives, healthcare decision-making, and end-of-life planning when appropriate.

• Participate in admissions, care conferences, family meetings, and discharge planning meetings.

• Address resident concerns, grievances, and complaints promptly while working toward appropriate resolution.

• Monitor residents for psychosocial changes and communicate concerns to the interdisciplinary team.

• Maintain accurate, timely, and complete documentation in accordance with facility policies and regulatory requirements.

• Ensure compliance with CMS, state, and federal regulations related to social services.

• Participate in Quality Assurance and Performance Improvement (QAPI) initiatives.

• Assist with resident adjustment, behavior management, and interventions that enhance quality of life.

• Build relationships with community agencies and referral sources to support resident needs.

• Perform other duties as assigned.

Qualifications

• Bachelor's Degree in Social Work (BSW)

• Current Social Work license as required by state regulations.

• Previous experience in skilled nursing, long-term care, rehabilitation, or healthcare preferred.

• Knowledge of CMS regulations, discharge planning, and long-term care standards.

• Experience coordinating community resources and post-acute services preferred.

• CPR certification preferred.