Social Worker (PT) - Pine Valley

Lutheran Homes Inc; Fort Wayne (IN); On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Paid birthday day off

Holiday double pay

PTO from day one

Shift differentials

Life insurance

Short-term disability

Employee Assistance Program (EAP)

Education assistance

403(b) retirement plan with employer-m

Employer match

Job summary

Lutheran Life Villages in Indiana is seeking a compassionate Social Worker to support residents’ psychosocial well-being and rights within our nursing facility. You will coordinate care plans and serve as the primary social services contact for your caseload.

Join a mission-driven team that values collaboration, regulatory compliance, and person-centered care, with education assistance, retirement plans, and broad employee support.

Qualifications

• Bachelor’s degree required; social work license/certification preferred.
• Minimum of two years' experience in long-term care or related healthcare setting.
• Fluent English communication and interpersonal skills.

Responsibilities

• Coordinate, develop, and maintain individualized care plans for residents' psychosocial health.
• Serve as primary social services contact for assigned caseload, ensuring compliance with standards.
• Support residents adjusting to life in the facility and facilitate socialization.
• Identify and resolve resident and family concerns with leadership.
• Document social histories, assessments, and care plans; maintain progress notes.
• Coordinate relocation and discharge planning; arrange referrals to outside resources.
• Assist with precertification during skilled stays and communicate with insurers.

Skills

Excellent communication skills

Team collaboration

Regulatory navigation

Resident-centered approach

Education

Bachelor’s degree in Social Work

Tools

Microsoft Word

Excel

PowerPoint

Job description

You are a compassionate, resident‑centered professional committed to supporting the psychosocial well‑being of older adults. You build trusting relationships with residents and families, advocate for their needs, and help them adjust to life within the community. You are organized, detail‑driven, and confident in navigating regulatory requirements, care planning, behavioral support, and discharge processes. You communicate clearly, collaborate naturally with interdisciplinary teams, and maintain a calm, solutions‑focused approach when challenges arise.

WHAT YOU’LL DO

As a Social Worker, you will coordinate, develop, and maintain individualized plans of care that support each resident’s psychosocial health and rights. You will serve as the primary social services contact for your assigned caseload and ensure compliance with federal, state, and facility standards.

Resident Support & Advocacy

• Serve as the designated social worker for an assigned portion of the resident population.
• 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.

Care Planning & Documentation

• 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.

Transitions of Care & Support Services

• 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.

WHAT YOU NEED

Education & Certification

Bachelor’s degree required. Social work license/certification or designation preferred.

Experience

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.

Why Choose Lutheran Life Villages?

We believe our team deserves to feel valued, supported, and inspired - both at work and beyond. That’s why we offer a comprehensive and meaningful benefits package designed to help you thrive:

Celebrate You

• Enjoy a paid day off for your birthday every year - because you deserve it!
• Receive holiday double pay when working any of our 14 recognized holidays.

Time to Recharge

• Accrue PTO starting day one.
• Shift differentials are available to reward your hard work during evenings, nights, and weekends.
• Life insurance and short-term disability coverage to protect you and your family.
• Employee Assistance Program (EAP) for confidential support when you need it most.

Invest in Your Future

• Take advantage of education assistance, including our Achieve Your Degree program (in partnership with Ivy Tech).
• Plan ahead with a 403(b)-retirement savings plan, complete with employer match.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.