Discharge & Care Coordination Social Worker

Trinity Health; Livonia (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

Trinity Health in Livonia, MI is seeking a Social Worker to support patients and families in adjusting to illness and helping with discharge planning and placement. You will work closely with the RN Case Manager to implement safe, appropriate discharge plans and coordinate complex scenarios.

The role requires counseling, collaboration with the healthcare team, and proficiency with EHRs. You will participate in rounds, communicate with team members, and ensure regulatory and safety standards are

Qualifications

• Uses the social work process: assessment, planning, implementation and evaluation.
• Coordinate complex discharge planning and placement with care teams.
• Counsel patients and families to adjust to illness, prognosis, and treatment.

Responsibilities

• Assess patient needs and plan care with the health care team.
• Participate in multidisciplinary rounds and daily case discussions.
• Coordinate with physicians, nurses, and external agencies for safe discharge and needed placements.
• Document ongoing communications in the patient record and ensure HIPAA compliance.

Skills

Social work

Communication skills

Discharge planning

Multidisciplinary collaboration

Tools

EHR systems

Job description

Trinity Health in Livonia, MI is seeking a Social Worker to support patients and families in adjusting to illness and helping with discharge planning and placement. You will work closely with the RN Case Manager to implement safe, appropriate discharge plans and coordinate complex scenarios.

The role requires counseling, collaboration with the healthcare team, and proficiency with EHRs. You will participate in rounds, communicate with team members, and ensure regulatory and safety standards are