Licensed Social Worker Job at Touchstone Communities in La Porte

Touchstone Communities is seeking a Licensed Social Worker to support residents and families in our skilled nursing and rehabilitation communities. You will complete psychosocial assessments, lead care planning, coordinate safe discharges, and connect residents with community resources. This role partners closely with nursing, therapy, and medical teams to address emotional, social, and financial needs while honoring faith-based, person-centered values. You will advocate for residents’ rights, guide families through transitions, and help ensure dignified, goal-focused care in a homelike environment. Complete psychosocial assessments and develop individualized care plans Coordinate safe, timely discharges and transitions of care Provide counseling and supportive interventions to residents and families Advocate for residents’ rights, preferences, and psychosocial needs Collaborate with nursing, therapy, and medical teams on care planning Connect residents and families with community and financial resources Maintain accurate, timely documentation in the EHR Educate residents and families on care options, benefits, and services Support crisis intervention and conflict resolution as needed Ensure compliance with state, federal, and facility regulations Clinical assessment Discharge planning Care coordination Crisis intervention Case management documentation Interdisciplinary collaboration Regulatory compliance (SNF/long-term care) Family counseling Community resource navigation Electronic health record (EHR) use Medical Insurance Dental Insurance Vision Insurance Life Insurance 401k Active Texas LBSW or LMSW license Background in skilled nursing or long-term care Knowledge of Medicare/Medicaid and discharge planning Crisis intervention and de-escalation training