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Click here or scroll down to respond to this candidateSOCIAL WORKERCHECKLISTNAME Candidate's Name
LAST 4 OF SSN Street Address
DATE Street Address /26/2024I hereby certify that ALL information I haveprovided on this skills checklist and all otherdocumentation, is true and accurate. Iunderstand and acknowledge that anymisrepresentation or omission may result indisqualication from employment and/orimmediate termination.Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.Prociency Scale: 1 = No Experience2 = Need Training3 = Able to performwith supervision4 = Able to performindependentlyRating Stars (Click) Knowledge of Assessment Process 1 2 3 4 Psychosocial assessment (socialhistory, living situation, career,hobbies, support systems, decisionmaking, communication difculties,exibility, prolonged mental illness /emotional Problems, lack ofxhttps://www.rehabilitycare.com/checklists/social_worker.html 6/26/24, 3:21 PM Page 1 of 4community / caregiver support, familydiscord, ability to deal with loss)Rating Stars (Click) Communication Abilities 1 2 3 4 Develop and maintain communicationwith people on complex matters,issues and ideas, and/or in complexsituationsxRating Stars (Click) Personal and People Development 1 2 3 4 Develop oneself and contribute to thedevelopment of othersxRating Stars (Click) Quality Improvement & Service 1 2 3 4 Contribute to the improvement ofservices & maintain quality in ownwork and encourage others to do soxRating Stars (Click) Health Protection & Well Being 1 2 3 4 Implement aspects of a protectionplan and review its effectivenessxHigh risk intervention / patientvulnerability or safety riskxMonitor and maintain health, safetyand security of self and othersxProvide crisis intervention xRating Stars (Click) Care Planning 1 2 3 4Assess complex health and well beingneeds and develop, monitor andreview care plans to meet those needsxRating Stars (Click) Knowledge andInformationResources 1 2 3 4Organize knowledge and informationresources and provide information tomeet needsxDemonstrates respect forpatient/family condentialityxDocumentation Skills (accurate,timely, complete and legible)xCounseling for long range planningand decision makingxRating Stars (Click) Equality and Diversity 1 2 3 4 https://www.rehabilitycare.com/checklists/social_worker.html 6/26/24, 3:21 PM Page 2 of 4Promote equality and value diversity xRating Stars (Click) Experience in all or any of the following: 1 2 3 4Medical Social Work xSchool Social Work xClinical Social Work xSocial Work-Admin/management xSocial work-case manager xInternational Social Work xSocial Work-Children & Families xSocial Work in Acute PsychiatricHospitalxForensic Social Work xEmployment/Occupational SocialWorkxSocial Work- Community Organizer xRating Stars (Click) Age Specic Competencies 1 2 3 4 Infant (Birth - 1 year) xPreschooler (ages 2-5 years) xChildhood (ages 6-12 years) xAdolescents (ages 13-21 years) xYoung Adults (ages 22-39 years) xAdults (ages 40-64 years) xhttps://www.rehabilitycare.com/checklists/social_worker.html 6/26/24, 3:21 PM Page 3 of 4Older Adults (ages 65-79 years) xElderly (ages 80+ years) xReset Print Submithttps://www.rehabilitycare.com/checklists/social_worker.html 6/26/24, 3:21 PM Page 4 of 4 |
