Care Planning & Discharge Social Worker (Skilled Nursing)

Excelsior Care Group; Rahway (NJ); On-site; USD 63,000 - 77,000; Full time

Benefits offered by this job

Medical & Dental Coverage

401(k) Retirement Plan

PTO

Employee Recognition Program

Team-oriented environment

Employee discounts

Job summary

Care Connection Rehabilitation Center in Rahway, NJ seeks an experienced Social Worker to support residents and families, oversee social work, care planning, and discharge planning throughout the stay.

The ideal candidate has at least 2 years in a nursing home or SNF, strong communication and organization skills, and hands-on PCC EMR experience. You will collaborate with an interdisciplinary team to ensure smooth transitions and compliant documentation.

Qualifications

• Minimum 2 years of social work experience in a nursing home, SNF, or rehabilitation setting.
• Experience with discharge planning and transitions of care.
• Experience using PCC EMR (PointClickCare) strongly preferred/required.

Responsibilities

• Provide comprehensive social work services and psychosocial support to residents and families.
• Oversee the social work process for all resident admissions and discharges.
• Initiate and coordinate discharge planning from admission through transition to the community or next level of care.
• Identify barriers to discharge and develop solutions and resources.
• Coordinate community resources, home care services, medical services, transportation, and other supports as needed.
• Complete required social work assessments, documentation, care plans, progress notes, and follow-up.

Skills

Social Work experience

Discharge planning

PCC EMR

Communication skills

Time management

Tools

PCC EMR (PointClickCare)

Job description

Care Connection Rehabilitation Center in Rahway, NJ seeks an experienced Social Worker to support residents and families, oversee social work, care planning, and discharge planning throughout the stay.

The ideal candidate has at least 2 years in a nursing home or SNF, strong communication and organization skills, and hands-on PCC EMR experience. You will collaborate with an interdisciplinary team to ensure smooth transitions and compliant documentation.