Social Worker, Person Centered Practices, Licensed LP, LICSW, LPCC

Location: On-Site, Flexible

Employment Type: Full-Time or Contract

Reports To: Director of Resident Experience and Success

Stonecrest Living is seeking a compassionate and strategic Social Worker, Person-Centered Engagement to join our Minnetonka team and enhance the lived experience of persons with Serious and Persistent Mental Illness (SPMI) and disabilities in our 245D licensed and assisted living programs. This role focuses on reducing challenging behaviors through trauma-informed, culturally responsive, and person-centered care. It combines direct observation, supportive coaching, and administrative documentation to ensure services remain aligned with our values of dignity, respect, and empowerment.

In this role, you will lead engagement strategies, support staff development, and collaborate closely with nursing teams to deliver holistic care. You will identify service gaps, create tools, participate in weekly consultations, and contribute to organizational learning through data analysis. While the position is primarily connected to Assisted Living and 245D residential settings, active presence will be initially maintained via remote sessions, ensuring flexibility to adapt to evolving individual needs and organizational priorities. Join us in building a community where every individual feels valued, respected, and supported.

Responsibilities

Team Consult Participation (20%)

• Attend weekly staff consultations, house meetings and team meetings.
• Listen for opportunities to strengthen staff confidence, communication, and caregiving skills mentioned in consult.
• Implement targeted mini-trainings for staff providing care.
• Document observations and share insights with leadership to guide development strategies for PEP process and an on-site social worker presence.

Service Gap Analysis (20%)

• Review person-centered care plans and daily practices to identify unmet needs.
• Gather feedback from individuals, families, and staff to assess satisfaction and improvement areas.
• Compare current services with regulatory requirements and industry best practices.
• Document findings and present actionable recommendations to leadership.
• Collaborate with interdisciplinary teams to prioritize and resolve identified gaps.
• Monitor progress on implemented changes and provide follow-up reports.

Clinical Partnership & Documentation (20%)

· Deliver integrated, whole-person care with nursing and social work teams.

· Collaborate across disciplines to ensure person-centered support.

· Strengthen care plans with social work expertise and psychosocial insight.

· Identify at-risk residents and implement targeted re-engagement strategies.

· Maintain accurate documentation of observations, consults, and tool use.

· Develop and manage Support Plans, goals, and PEPs in compliance.

· Use a cloud-based system to streamline care planning and documentation.

· Provide timely leadership updates, promoting transparency and collaboration.

· Create tools to assess staff competency via feedback, reflection, and observation.

· Support data analysis to measure program impact and growth.

· Present findings clearly for leadership and compliance.

· Apply data insights to drive training, resources, and continuous improvement.

Staff Development (20%)

• Review PEPs and observe weekly consultations in order to coach staff on applying Positive Engagement Plan (PEP) strategies and recommendations.
• Observe staff-individual interactions to ensure consistent and effective use of PEP strategies and report back weekly to the social work team and leadership regarding implementation needs and gaps. Provide constructive feedback and encourage reflective practice to improve approaches.
• Collect feedback from staff and individuals served to evaluate tool impact and effectiveness.
• Collect progress updates and determine success metrics to demonstrate impact

Qualifications

· Required: Master’s degree in Social Work (MSW).

· Must hold or be eligible for Minnesota Social Work licensure (LSW, LGSW, LISW, or LICSW).

· Minimum of 2–3 years’ experience working with youth and adults with SPMI and disabilities in 245D licensed programs and assisted living facilities

· Additional experience/training in trauma-informed care, person-centered planning, and mental health services is highly desirable.

· Excellent communication, observation, and coaching skills

· Ability to build trust with diverse populations and navigate complex interpersonal dynamics

· Familiarity with documentation standards and regulatory compliance in residential settings

· Experience in behavioral support or mental health (e.g., CPI, ARMHS, DBT)

· Experience with motivational interviewing or restorative practices

• Bilingual or multilingual abilities are a plus, but not necessary
• Proficient in computer and software use, including:

o Experience with Electronic Health Record (EHR) systems preferred but not required

o Strong working knowledge of Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)

o Ability to use Canva for visual communication and training materials

o Familiarity with Adobe tools (such as Acrobat, Photoshop, or Illustrator) for documentation and creative support

o Comfortable navigating cloud-based platforms and collaborative tools (e.g., SharePoint, Microsoft One Drive, Teams, Google Workspace)

Living On Purpose: About Stonecrest Living

Stonecrest Living is a purpose-driven provider of specialized care. The members of our community include children, youth, and adults with complex neurodivergent needs and behavioral health challenges. With over a decade of experience and a leadership team bringing more than 50 years of collective expertise, we support individuals with neurodivergent conditions such as autism, ADHD, intellectual disabilities, sensory processing disorder, and other developmental and cognitive experiences. Our work addresses behaviors such as self-harm, aggression, elopement, and sensory dysregulation by focusing on the root causes—trauma, neurocognitive distinctions, and behavioral health needs—through loving, person-centered care. We offer crisis respite, individualized home supports with training, night supervision, community residential services, and assisted living in Minnetonka.

We understand that for many living with serious and persistent mental illness and developmental disabilities, home has never been simple—it has been a system that fell short, a system that could not account for the ways human intersections need to be seen and supported. Too often, people have been defined by diagnoses, reduced to behaviors, or managed by protocols that overlook the fullness of their identity. At Stonecrest, we believe that being seen means more than being observed—it means being known, understood, and valued in all your complexity. It means recognizing the story behind the struggle, the resilience behind the symptoms, and the humanity within the file.

We believe home is not a noun but a daily act of care: staff who truly see you, not just your chart; spaces that honor your complexity without reducing you to it. At Stonecrest Living, we are invested in creating environments where belonging is woven through routines, through activities that reflect personal interests and goals, through meals prepared, skills practiced, and lives lived with dignity. Our caregiving team draws on the strength of their collective cultural wisdom—including African values of community, respect, and service to others—that have guided civilizations and sustained communities for centuries. Today, we have the privilege of sharing those gifts with members in new communities of experience, weaving our lived experience of interdependence and collective caregiving into every interaction. This is not just support—it is our unapologetic drive to help our community live on purpose.

Pay: $61,610.61 - $90,197.73 per year

Benefits:

• Flexible schedule
• Health insurance
• Paid time off
• Professional development assistance

Work Location: In person