Social Worker Eldercare

About Us

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, and cardiovascular care. Mount Sinai is South Florida's largest private independent not-for-profit hospital, dedicated to training the next generation of medical pioneers.

Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research.

Responsibilities

• Perform in-person initial assessments for enrollment of potential Eldercare participants to obtain a complete psycho-social history, including cognitive status, social supports, family dynamics, mental health, substance dependency, and other current issues and needs.
• Collaborate with the interdisciplinary team to develop a comprehensive care plan for each participant.
• Conduct in-person reassessments of enrolled participants every six months and as needed when participants’ conditions change.
• Maintain regular attendance at and participate in daily Interdisciplinary Team meetings; communicate participant changes and collaborate with team members in care planning decisions and coordination for 24-hour care delivery.
• Act as liaison with participant, caregivers, and community agencies regarding orientation to and ongoing relations with the Interdisciplinary Team, day center, and other Eldercare staff.
• Provide ongoing support, counseling, and education to participants and family regarding aging, dementia, grief and loss, end of life, disease processes, difficult family dynamics, and the Eldercare model.
• Present requests to the Interdisciplinary Team (IDT) for and coordinate admission/discharge to contracted facilities for temporary respites and permanent placement.
• Facilitate meetings with participants, family, caregivers, and community agencies to clarify or problem-solve issues, including the plan of care; mediate discussions between all parties.
• Provide referrals to subsidized housing and assisted living residences, including completing applications, obtaining medical records, and accompanying participants to interviews and tours if no other support systems exist.
• Initiate referrals to external resources with community agencies such as Adult Protective Services, Housing Authority, or public utility companies; advocate for participants to maintain community stability.
• Assist participants and caregivers in completing Advanced Directives, Medical Durable Power of Attorney (MDPOA), Proxy, and Do Not Resuscitate (DNR) directives as needed.
• Assist participants with Social Security Income (SSI) and Social Security Disability Insurance (SSDI) application processes as needed.
• Assist participants disenrolling from Eldercare in coordinating insurance and referrals for other community or facility-based services.
• Provide emotional support, grief counseling, education, and funeral/financial planning referrals for end-of-life care; facilitate end-of-life or nursing home placement as needed.
• Participate in and support Quality Improvement initiatives.
• Act only within the scope of authority to practice.
• Know and adhere to the philosophy and goals of Eldercare.

Requirements

• Master’s in Social Work Degree from an accredited school of social work by the Council on Social Work Education.
• Two years of social work experience working on an interdisciplinary team in a hospital, nursing home, or community-based setting is desired, with one year working with a frail and elderly population.
• BLS or CPR certification required.

Benefits

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions