Medical Social Worker (MSW) collaborates with other healthcare professionals to assess and support clients’ biopsychosocial-spiritual needs.
Essential Functions
Intake and Screening
Partner Registered Nurse to conduct intake screening for clients
Complete social assessment for general understanding of family situation
Pick up cases which require further psychosocial-spiritual support
Admission
Touch base with new clients to check in on transition coping
Respite Care
Receive urgent/planned respite cases
Work with team to ensure admission and work with relevant agencies and families on long term plan e.g. permanent placement in NH or discharge arrangements
Day-to-Day
Counselling and emotional support for clients and families identified
Case management e.g. referral families to other resources if necessary
Update documentation necessary to aid team’s understanding while abiding with PDPA principles
Facilitate household committee meetings as check-in sessions
Group activities/group work
Work with team to plan for birthdays, festivals, and outings
Ensure general Advanced Care Planning/Preferred Plan of Care are done for long term clients.
Directing LPA deemed necessary
Follow with families who defaulted payment and expressed financial constraints
Attend Multidisciplinary Meetings for clients, advocate and contribute
Attend to enquiries/walk-ins from the public
Keep updated of government policies/schemes/services to provide Information and Referral
Discharge Care Planning
Work with medical, nursing, and other allied health professionals, clients, and their families to develop and implement the post-discharge care plan
Work with team to look into suitable placements based on the needs of clients
Right-siting and referrals of clients to other institutions and pacing with clients for discharge
Liaison with referred agency to ensure smooth transition
Crisis intervention
Conduct risk assessment for crisis situations e.g. ASIST suicide assessment, family violence assessment and work with team on necessary intervention
Check in and support team’s emotional coping
Family education and mediation with families
Palliative and bereavement
Initiate End-of-Life conversations with clients and families
Preferences on last rites
Wishes/Hope/Regrets
Life review and Legacy
Closures (thank you, I love you, goodbyes, sorry and I forgive)
Information providing on wills & nomination
Coordination of funeral arrangements for those without NOK, pro-bono/Attend wake if necessary
Bereavement support e.g. checking in after death to follow-up (2 weeks, 3 months), short-term counselling support and look into referral for longer-term support if necessary
Others
Perform other related duties as assigned by the Reporting Officer
Job Requirements
BA (Major in Social Work) or Bachelor Degree in Social Work OR Graduate Diploma in Social Work.
Experience working with Older Adults and People with Dementia
3 – 5 years’ relevant experience preferably in hospital or community hospital setting.
Microsoft Office, internet savvy
Accreditation with Social Work Accreditation and Advisory Board (SWAAB) - Registered Social Worker
Certification for Advanced Care Plan Facilitator (preferably)