Geriatric Social Services Director

Outfield Healthcare Partners; Indianapolis (IN); On-site; USD 65,000 - 90,000; Full time

Job summary

Outfield Healthcare Partners is seeking a compassionate Social Services Director (Licensed Social Worker) to lead social work services for residents in our Indianapolis SNF. You will conduct psychosocial assessments, care planning, and discharge planning, while advocating for resident rights and interdisciplinary collaboration.

The ideal candidate will bring experience in skilled nursing, geriatric social work, and regulatory compliance to support resident wellbeing and family education.

Qualifications

• Current licensed, certified, or registered Social Worker credential in the state of practice required.
• Bachelor’s Degree in Social Work (BSW) or a related Human Services field from an accredited college or university required.
• Minimum of one (1) year of supervised social work experience in a healthcare setting working directly with geriatric populations preferred.
• Experience working in a skilled nursing facility (SNF), long‑term care, nursing home, rehabilitation center, or senior living environment preferred.
• Knowledge and experience with Minimum Data Set (MDS), Resident assessments, Care planning, Discharge planning, Resident rights, PASARR documentation, Psychosocial services, CMS and state survey requirements.

Responsibilities

• Complete comprehensive social histories, psychosocial assessments, and resident evaluations to identify social, emotional, psychological, and behavioral needs.
• Participate in the MDS process, including completing applicable sections and using assessment information to guide individualized care planning.
• Develop, implement, and monitor individualized social service care plans that identify resident needs, goals, interventions, and outcomes.
• Maintain accurate and timely documentation in accordance with federal and state regulations, company policies, and facility standards, including social service assessments, social service progress notes, care plans, advanced directives, PASARR documentation, and discharge planning records.
• Provide emotional support, counseling, and therapeutic interventions to help residents adjust to long‑term care placement, changes in health status, loss of independence, and personal challenges.
• Advocate for resident rights and support informed decision‑making, document refusals, and educate residents and families regarding alternatives.
• Coordinate discharge planning processes, referrals to home care services, and community resources.
• Collaborate with the interdisciplinary team to address psychosocial needs and promote resident quality of life.
• Work with residents, families, and staff to improve self‑advocacy and overall satisfaction and outcomes.
• Promote and protect resident rights while preventing abuse, neglect, and exploitation; support survey readiness and corrective actions as needed.
• Maintain NASW Code of Ethics compliance with CMS/state requirements.

Skills

Social Work

Geriatric Care

Care Planning

Discharge Planning

Resident Advocacy

Education

BSW or related Human Services degree

Tools

MDS knowledge

PASARR documentation

CMS regulations

State survey knowledge

Job description

Outfield Healthcare Partners is seeking a compassionate Social Services Director (Licensed Social Worker) to lead social work services for residents in our Indianapolis SNF. You will conduct psychosocial assessments, care planning, and discharge planning, while advocating for resident rights and interdisciplinary collaboration.

The ideal candidate will bring experience in skilled nursing, geriatric social work, and regulatory compliance to support resident wellbeing and family education.