Care Coordination Social Worker — Home & Facility Visits

Your Health Organization; Spartanburg (SC); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Competitive compensation

401K match

HDHP Insurance

HSA

Generous PTO

Job summary

Your Health Organization in the Spartanburg area is seeking a dedicated Social Worker to support patients across homes and care facilities. You will perform advance care planning, cognitive assessments, placement support, and connect patients with resources to ensure smooth transitions of care.

The role requires daily travel to facilities and patient homes with reliable transportation. This full-time position offers a salary-based schedule (8-hour shifts, Monday-Friday) and benefits including a

Qualifications

• Compassionate social worker with strong patient service skills.
• Experience with advance care planning and care coordination.
• Willingness to travel daily to homes and facilities in the Spartanburg area.

Responsibilities

• Initiate advance care planning across care teams.
• Perform daily comprehensive assessments.
• Develop daily care plans for patients.
• Document chronic care management time daily.
• Coordinate discharges and placement with contracted facilities.
• Maintain relationships with referral sources and families.

Skills

Compassionate service

Customer service

Communication

Care planning

Care coordination

Job description

Your Health Organization in the Spartanburg area is seeking a dedicated Social Worker to support patients across homes and care facilities. You will perform advance care planning, cognitive assessments, placement support, and connect patients with resources to ensure smooth transitions of care.

The role requires daily travel to facilities and patient homes with reliable transportation. This full-time position offers a salary-based schedule (8-hour shifts, Monday-Friday) and benefits including a