Social Services Coordinator

• Plan, develop, organize, implement, and evaluate the social services program to meet the ongoing needs of residents in the Skilled Nursing Facility.
• Conduct initial and ongoing psychosocial assessments for all residents and ensure documentation is accurate and timely.
• Serve as the primary contact for discharge planning; coordinate post-discharge services such as home health, outpatient rehab, or long-term care placement, and ensure residents and families understand their discharge instructions and insurance coverage.
• Participate in Medicare coverage discussions with the interdisciplinary team to support timely and appropriate discharge planning.
• Attend daily stand-up and care planning meetings to provide psychosocial input, address concerns, and communicate resident and family needs.
• Act as the facilitys primary point of contact for grievances and complaints related to care, services, or interpersonal issues; conduct timely investigations and collaborate with leadership to develop and implement appropriate resolution plans.
• Document grievances, resolutions, and trends to support QAPI and regulatory compliance.
• Provide in-service education during employee orientation and ongoing training, specifically related to Resident Rights and Abuse, Neglect, and Exploitation prevention and reporting procedures.
• Maintain current knowledge of Florida regulations, CMS guidelines, and ethical standards surrounding elder care and resident protections.
• Monitor resident emotional well-being and intervene or coordinate behavioral health support when necessary.
• Educate residents and responsible parties about Medicare coverage, available community resources, legal documents such as advance directives, and long-term planning.
• Support residents and families during difficult transitions, including end-of-life care, palliative services, and bereavement.
• Partner with nursing and administrative teams to advocate for a person-centered, inclusive culture that prioritizes dignity, autonomy, and hospitality.
• Lead social services-related preparation for surveys and inspections, including ensuring all documentation is compliant and readily available.
• Maintain all required documentation in the Electronic Medical Record (EMR) system and ensure entries are timely, accurate, and regulatory-compliant.
• Participate in QA/QAPI meetings, care plan reviews, and policy updates related to psychosocial services and resident advocacy.
• Serve as the liaison between the facility and external resources (e.g., protective services, ombudsman, legal aid) when appropriate.
• Assist in training, mentoring, and supervising social services team members, if applicable.
• Other duties as assigned by Supervisor.

• N/A

• Bachelors degree in Social Work or a related human services field (e.g., sociology, psychology, gerontology, rehabilitation counseling).
• Minimum of two (2) years of experience in a healthcare or long-term care setting.
• Supervisory experience preferred.
• Knowledge of Medicare and private insurance coverage related to skilled nursing facility services, discharge planning, and care transitions.
• Familiarity with MDS documentation and interdisciplinary care planning is a plus.

Knowledge, Skills, and Abilities:

• Ability to communicate effectively in writing and verbally, speaking the primary language of the residents.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence.
• Ability to speak effectively before groups of customers or employees of organization.

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percent, and to draw and interpret graphs.

Cognitive Demands:

• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to deal with problems involving several concrete variables in standardized situations.

• Proficiency in Microsoft Office and electronic health records.
• Ability to use internet-based resources and internal systems for communication and documentation.

• Must demonstrate a warm, positive, and outgoing personality and behavior
• Must demonstrate an interest in working with a senior population
• Interacts with Residents, Associates, families, vendors, and other contacts in a courteous and friendly manner
• Demonstrates a strong understanding of resident rights and regulatory compliance.
• Respond promptly to the Resident and the visitor's needs. Responds to requests for service and assistance
• Must maintain confidentiality and exhibit integrity and ethical conduct.
• Completes tasks correctly and on time
• Possesses excellent organizational skills
• Possesses the ability to take initiative, think independently, and use good judgment
• Must be a team player who can manage multiple tasks at once
• Ability to work weekends, holidays, or evening shifts as needed.