Social Worker Discharge Planner Care Coordination Specialist

We are seeking a highly organized proactive and compassionate Discharge Planner / Care Coordination Specialist to support residents and families throughout the discharge planning process in a fast-paced skilled nursing and rehabilitation setting.

This position is ideal for an individual with experience in healthcare skilled nursing rehabilitation hospital case management home health or care coordination who excels at communication organization and follow-through.

Key Responsibilities:

Coordinate safe and timely resident discharge planning from admission through discharge.

Communicate regularly with residents families the interdisciplinary team physicians therapy nursing and community providers.

Coordinate home health durable medical equipment transportation follow-up appointments and other post-discharge services.

Identify and address potential discharge barriers early.

Participate in interdisciplinary and discharge planning meetings.

Maintain accurate and timely documentation and discharge tracking.

Assist with resident and family education regarding discharge plans and next steps.

Ensure outstanding discharge-related items are followed through to completion.

Support a positive resident and family experience throughout the transition of care.

Preferred Qualifications:

Experience in skilled nursing rehabilitation hospital discharge planning case management social services home health or healthcare coordination strongly preferred.

Degree in Social Work Human Services Healthcare Administration Psychology Sociology or a related field preferred; equivalent relevant healthcare experience will be considered.

Strong organizational communication and problem-solving skills.

Ability to manage multiple priorities and meet time-sensitive deadlines.

Strong computer and documentation skills.

Must be proactive accountable and comfortable working collaboratively with an interdisciplinary healthcare team.

We are looking for a hands-on problem solver and strong communicator who takes ownership anticipates barriers and follows through until the discharge plan is complete.

• The Social Worker plans organizes develops and implements Social Services programs ensure all medically-related emotional and social needs of patients are met in accordance with all applicable laws regulations and Life Care standards.
• Reports to Social Services Director

• Currently registered/licensed in applicable State (if required by State law). Must maintain an active license in good standing throughout employment. (Not applicable in Hawaii)
• Bachelors degree in a human services field (which may include gerontology) if working in a facility with 120 or more beds (see State law)
• Two (2) years experience in health-care social work preferred

• Make independent decisions when circumstances warrant such action
• Knowledgeable of social services practices and procedures as well as the laws regulations and guidelines governing social services functions in the post-acute care facility
• Implement and interpret the programs goals objectives policies and procedures of the social services department
• Perform proficiently in all applicable competency areas
• Maintains professional working relationships with all associates vendors etc.
• Maintains confidentiality of all proprietary and/or confidential information
• Understand and follow company policies including harassment and compliance procedures
• Displays integrity and professionalism by adhering to Life Cares Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training

An Equal Opportunity Employer