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  3. Licensed Social Worker at Fort Stockton
Focused Post Acute Care Partners logo

Licensed Social Worker at Fort Stockton

Focused Post Acute Care Partners·Fort Stockton, Texas

Other·On Site·2-5 yrs·Posted 5 days ago
Practice for this role

About the role

The Social Worker coordinates community resources and provides emotional and social support to residents in a long-term care setting. Key duties include completing MDS 3.0 assessments, managing discharge planning, and advocating for resident rights.

Job DetailsJob Location

Focused Care at Fort Stockton - Fort Stockton, TX 79735Focused Post Acute Care Partners FPACP is a dynamic company with an expectation of excellence in the delivery of long-term care to every patient every day. We are looking for a Social Worker to join our great team! At FPACP, we take pride in our culture and ROCKIN recognition program ROCKStar (Recognizing Outstanding Care and Kindness). This program is used across the organization for team members, residents, family members, volunteers, and business partners. The gamification component is a fun and competitive way team members level up monthly, getting one step closer to attending the annual FPACP Gala. Apply to find out more and become our next ROCKStar.

Position Summary

As licensed Social Worker, we will rely on your knowledge of resources available in the community as well as your experience and judgment to act as a primary referral source to members. You will interview, coordinate and refer members to resources that have been identified and promote activities that will help the member to meet their social and emotional needs and, when appropriate, their families. You must be familiar with standard concepts, practices and procedures within the field QUALIFICATIONS: Bachelor's Degree in Social Work or a Human Services field including, Sociology, Gerontology, Special Education, Rehabilitation Counseling, and Psychology. Must be a licensed Social Worker in the state of Texas or obtain within 6 months of hire. Prefer two (2) years of experience in long-term care, hospital, or other related medical facilities. Able to react to emergency situations appropriately when required. ESSENTIAL FUNCTIONS: Meet with administration, medical and nursing staff, and other related departments in planning social services. Advocate daily on behalf of all residents to ensure that their rights are maintained. Reports abuse, neglect, or exploitation per state reporting guidelines. Maintains professional working rapport with facility interdisciplinary team and community resources/agencies. Completes Social Service History and Social Service Evaluation with newly admitted residents within 14 days. Completes sections "B, C, D, E and Q" of MDS 3.0 on days 5, 14, 30, 60, 90, annually, upon change of condition, and upon resident readmission from hospitalization. Educate, review and assist residents in completing Advance Directives, Medical Power of Attorney, Out of Hospital Do Not Resuscitate documents. Facilitates referrals to ancillary services including Follow up with the resident and their responsible party, requesting/obtaining physician orders, copying and faxing information to the agency providing the service (Optometry, Audiological, Dental, Podiatry, Counseling, Psychiatry, Psychological testing) on behalf of the residents. Educate/ communicate with residents and/or responsible parties about Palliative Care vs. Hospice Care and assist in the referral/transition process of residents to end-of-life services and end-of-life decision making. Procures prior authorization numbers for residents with Medicaid who require ambulance transportation to non-emergency medical appointments. Assist with scheduling transportation for residents to medical appointments. Prepare a Social Service Evaluation prior to each resident's care plan to assess changes / areas of need since their last care plan. Document interactions with residents and/or responsible parties that are reflective of assessments performed, assistance provided and issue resolution. Discharge preparations with residents and/or responsible parties throughout stay in facility to culminate all community services requested /required. Prepares care plans including: Advance Directives, DNR, resident personal preferences, behavioral/psychosocial issues. Facilitates resident room changes including five-day relocation notice, follow-up with resident, responsible party, roommate, physician, and nursing and documentation of aforementioned process. Reviews resident's psychosocial wellbeing due to loss of a family member, friend, or roommate. Attends Resident Council meetings only if invited by the Council members and assists in resolution of any issues presented. Facilitates proper procedure on initiation/completion of Grievance Reports and assists in maintaining the facility Monthly Grievance Log. Attends and provides quarterly information for Performance Improvement / Quality Assurance meetings including all resident referrals made in last quarter, all behavioral issues addressed/resolved in last quarter, tracking and trending of grievances within the facility during last quarter. Performs bi-annual reviews of all resident charts to ensure that assessments, documentation, directives and care planning are current, consistent and appropriately placed in the chart. Maintains knowledge of federal and state regulations for long-term care facilities. Develop and maintain a good working rapport with intra-department personnel, other departments within the facility and outside community health, welfare and social agencies to ensure that social service programs can be properly maintained to meet the needs of the patients / residents. Keep up to date with current federal and state regulations as well as professional standards, and make recommendations on changes in policies and procedures to the department director or Administrator. PHYSICAL REQUIREMENTS: Have the ability to safely perform movements such as pushing, pulling, lifting, bending, kneeling, reaching and lifting up to 50 pounds with or without reasonable accommodations WORK SCHEDULE: As assigned, including some weekends, evenings and holidays; non-exempt position AA/EEO/M/F/D/V We offer great benefits to our valued team members! Excellent compensation ~ 6 Holidays ~ Life Insurance- Short Term and Long Term Disability HEALTH PLANS VISION DENTAL GENEROUS PTO MUCH MORE #becomearockstar #fpacprocks #LP Qualifications

Requirements

Requires a Bachelor's degree in Social Work or a related Human Services field and a Texas Social Worker license. Preference is given to candidates with two years of experience in long-term care or medical facilities.

  • bachelor degree
  • Case Management
  • Patient Advocacy
  • Care Planning
  • Regulatory Compliance
  • Crisis Intervention
  • Interdisciplinary Collaboration
  • Psychosocial Assessment
  • Discharge Planning
  • Community Resource Coordination
  • MDS 3.0

Benefits

  • Dental Insurance
  • Life Insurance
  • Paid Time Off
  • Vision Insurance
  • Holidays
  • Health Plans
  • Short Term Disability
  • Long Term Disability

Posting details

Employment type
Other
Work arrangement
On Site
Experience
2-5 yrs
Location
Fort Stockton, Texas
Posted
Jul 23, 2026
Application
Employer website
Focused Post Acute Care Partners logo

Hiring organization

Focused Post Acute Care Partners

Focused Post-Acute Care Partners (FPACP) is more than just a company of nursing homes. Our focus is partnering with our skilled team members, residents and their family members to determine the most appropriate care based on the residents’ ever- changing needs. Skilled nursing...

IndustryHospitals and Health Care
TypePrivately Held
Size1,001-5,000 employees
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Market context

Texas behavioral health roles need licensed clinicians

Behavioral-health openings in Texas often favor licensed clinicians because employers need candidates who can step into patient-facing care with minimal onboarding. Competition is shaped by the required master’s degree, Texas license, and preferred psychiatric experience, plus CPR and CPI certifications. Review the AI-summarized requirements and benefits on this page to save research time, then confirm your license type and highlight any psychiatric or crisis-care experience in your application.

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