Social Worker (PT) - Pine Valley

Lutheran Life Villages•Fort Wayne, IN

6d•Onsite

About The Position

This is a part-time Social Worker position, approximately 25 hours per week, focused on supporting the psychosocial well-being of older adults in a community setting. The role involves building trusting relationships, advocating for resident needs, and assisting with adjustments to community living. The ideal candidate is organized, detail-oriented, and proficient in navigating regulatory requirements, care planning, behavioral support, and discharge processes. Strong communication and collaboration skills with interdisciplinary teams are essential, along with a calm, solutions-focused approach to challenges.

Requirements

Bachelor’s degree required.
Minimum of two (2) years of experience working with residents in a long-term care or related healthcare setting.
Demonstrated ability to build positive, supportive relationships with residents, families, and team members.
Proficiency in Microsoft Word, Excel, and PowerPoint.
Solid understanding of long-term care regulations and social services requirements.
Strong ability to plan, coordinate, and implement comprehensive psychosocial care.
Excellent communication skills, including verbal, written, and interpersonal abilities.
Ability to communicate effectively in English.
Proven ability to work collaboratively within an interdisciplinary, mission-driven team.

Nice To Haves

Social work license/certification or designation preferred.

Responsibilities

Coordinate, develop, and maintain individualized plans of care that support each resident’s psychosocial health and rights.
Serve as the primary social services contact for an assigned caseload.
Ensure compliance with federal, state, and facility standards.
Support residents in adjusting to life in the nursing facility, engaging in activities of choice, and overcoming barriers to socialization and daily living.
Identify, communicate, and help resolve resident and family concerns, collaborating with the Director of Social Services, Administrator, and other department leaders.
Educate residents about their rights and assist them in exercising those rights appropriately.
Complete social histories, scheduled assessments, assigned MDS sections, and individualized care plans.
Maintain timely, accurate progress notes and evaluation documentation that meet all state and federal requirements.
Actively participate in the care planning process by scheduling and facilitating care plan meetings upon admission, quarterly, and as needed.
Monitor and document resident behaviors, collaborating with staff to develop effective behavior management plans that reduce adverse outcomes.
Coordinate relocation and discharge planning, ensuring smooth transitions and appropriate communication.
Arrange or refer residents to outside resources such as: mental health services, prescription assistance, home care, hospice, financial planning, utility services, funeral planning, and other community supports.
Manage precertification responsibilities during skilled stays, including insurance authorizations, submission of clinical documentation, tracking updates, and follow-up communication.
Serve as a backup to the Director of Social Services by attending meetings, completing documentation, and providing coverage for their caseload as needed.
Assist the marketing and admissions team as a backup to the Admissions Coordinator by handling initial inquiries, tours, and explanation of financial and administrative policies.
Represent the organization professionally through positive public relations with residents, families, community partners, hospitals, and agencies.
Participate in marketing meetings and events as needed.