Medical Social Worker (Community-Based)

Play a vital part in supporting the psychosocial well-being of our residents and their caregivers. You will take ownership of conducting in-depth assessments, coordinating care plans, and providing interventions that promote dignity, comfort, and holistic well-being for our elders.

• Manage caseloads requiring social work intervention, including conducting BPSS assessments, case management, and coordinating care plans within stipulated timelines.
• Collaborate with multi-disciplinary teams (e.g., through MDMs) to support the psychosocial well-being of elders and caregivers.
• Develop and coordinate discharge and transition plans for elders moving to other services when appropriate.
• Provide community-based case management and make necessary referrals to external agencies.
• Support and co-facilitate therapeutic groupwork/programmes and engage in ACP con...