Social Service Worker - Full-Time

Lakesidenursingcenter; Jacksonville (FL); On-site; USD 30,307 - 46,838; Full time

Benefits offered by this job

Daily Pay

Health Insurance

Dental & Vision Insurance

Paid Time Off & Holiday Pay

401(k) Retirement Plan

Flexible Scheduling

Direct Deposit

Opportunities for Overtime

Doctegrity

Wonderschool

Panda Perks & Benefits

Comfortable Staffing Ratios

A Supportive Team Environment

Job summary

Lakeside Center for Rehabilitation & Healing is seeking a Social Services Worker to provide psychosocial support to residents in a skilled nursing and rehabilitation setting. The role focuses on discharge planning, resource connections, and resident advocacy to ensure smooth transitions and compliance with regulations.

You will collaborate with nursing, therapy, and administrative teams to address emotional and practical needs, maintain thorough documentation, and help families navigate care

Qualifications

• Educational requirement: Bachelor’s degree in Social Work or related field.
• Minimum of two years of supervised social work experience in SNF/rehabilitation or long-term care.
• Experience with Medicare/Medicaid case management and discharge planning is highly valued.
• Knowledge of CMS surveys, resident rights, and regulatory requirements.

Responsibilities

• Assess residents' psychosocial needs and provide supportive counseling.
• Represent residents’ needs in care plan meetings and coordinate goals.
• Assist residents with Medicaid/Medicare and discharge planning processes.
• Coordinate with nursing, therapy, dietary, and administration for continuity of care.
• Maintain regulatory documentation and ensure CMS compliance.
• Advocate for residents and maintain open communication with families.

Skills

Interpersonal skills

Communication skills

Documentation

Care coordination

Education

Bachelor’s degree in Social Work or related field

Job description

Lakeside Center for Rehabilitation & Healing

Employment Status: Full-Time   Pay Rate: Hourly

Lakeside Center is a 122-bed skilled nursing facility offering short-term rehabilitation, long-term care, palliative care, hospice services, and outpatient therapy. Our mission is to provide residents with high-quality care while promoting their overall health and well-being. We are located at 11411 Armsdale Road, Jacksonville, FL 32218.

If you're looking to be part of a caring, supportive, and uplifting team, we’d love to meet you!

Why Work For Us? Because We Offer Our Employees:

• Daily Pay – Work today, get paid today!
• Health Insurance
• Dental & Vision Insurance
• Paid Time Off & Holiday Pay
• 401(k) Retirement Plan
• Flexible Scheduling
• Direct Deposit
• Opportunities for Overtime
• Doctegrity – 24/7 telemedicine access for employees and families
• Wonderschool – Support for child care and early education options
• Panda Perks & Benefits – Financial wellness tools, employee discounts, and more
• Comfortable Staffing Ratios
• A Supportive Team Environment – where everyone is treated with respect, dignity, and compassion

Purpose of the Position:

The primary purpose of this position is to provide social services support to residents and families in a skilled nursing and rehabilitation setting, ensuring their emotional, social, and practical needs are met in accordance with federal, state, and local regulations for long-term care, as well as the company’s policies and procedures.

The Social Services Worker helps residents adjust to facility life, facilitates safe and appropriate discharge planning, and connects individuals and families to needed healthcare and community resources.

Essential Job Functions:

Resident Support and Counseling

Conduct comprehensive psychosocial assessments for residents in a skilled nursing environment, identifying emotional, social, and environmental needs that impact care and rehabilitation outcomes.

Provide supportive counseling to residents and families to assist with adjustment to skilled nursing care, coping, and decision-making.

Participate in care plan meetings to represent residents’ psychosocial needs, goals, and preferences.

Assist residents and families in understanding and accessing Medicaid, Medicare, managed care, and long-term care insurance programs.

Facilitate family and care conferences to address concerns, discuss discharge plans, and coordinate transitions back to home or lower levels of care.

Care Planning and Coordination

Participate in the development and review of individualized care plans, ensuring that psychosocial components are addressed in alignment with nursing and therapy goals.

Coordinate discharge planning and post-acute transitions, collaborating with rehabilitation, nursing, and community agencies to ensure continuity of care.

Work closely with interdisciplinary teams (nursing, therapy, dietary, and activities) to promote residents’ overall well-being and quality of life in the skilled nursing setting.

Monitor residents’ progress and adapt interventions to address changing psychosocial or care needs.

Documentation and Compliance

Maintain timely, accurate, and regulatory-compliant documentation in accordance with CMS and state survey requirements for skilled nursing facilities.

Complete required forms, progress notes, and care plan updates as directed by the Director of Social Services.

Ensure adherence to residents’ rights, HIPAA privacy laws, and long-term care facility policies.

Stay current with federal and state social services regulations and best practices in skilled nursing and post-acute care.

Support the Director of Social Services in implementing department goals that align with the facility’s quality improvement and survey readiness initiatives.

Coordinate social services activities with nursing, therapy, and administration to ensure consistent communication and teamwork.

Serve as a resident advocate, assisting in resolving concerns or grievances and promoting a positive, resident-centered culture.

Maintain effective communication with residents, families, and interdisciplinary staff to enhance satisfaction and care outcomes.

Education and Experience

Education: Bachelor’s degree in Social Work or a related human services field (e.g., sociology, psychology, counseling, gerontology) required or preferred, depending on state regulations.

Experience: Minimum of two (2) years of supervised social work experience in a skilled nursing facility, rehabilitation center, or long-term care setting required or strongly preferred.

Experience in Medicare/Medicaid case management, discharge planning, and care coordination within skilled nursing is highly valued.

Knowledge, Skills, and Abilities

Strong interpersonal and communication skills, with the ability to interact compassionately and professionally with residents, families, and staff.

In-depth knowledge of psychosocial assessment, care planning, and discharge coordination specific to skilled nursing and long-term care.

Familiarity with CMS survey processes, care transitions, and resident rights regulations.

Strong understanding of Medicare/Medicaid reimbursement systems and community resource coordination.

Excellent documentation and organizational skills; ability to prioritize and manage multiple caseloads effectively.