Discharge Planner: Care Coordination & Social Services

Southern California Hospitals; Los Angeles (CA); On-site; USD 41,000 - 58,000; Full time

Job summary

Southern California Hospitals is seeking a Discharge Planner to deliver social services, conduct psychosocial evaluations, and coordinate discharge planning with families, physicians, and care teams. You will ensure clear documentation in the medical record and help patients understand medical conditions and post-discharge needs.

The role requires a BSW or related degree, strong English communication, and knowledge of CMS/Medicare guidelines.

Qualifications

• BSW degree or related degree in human services is required.
• Excellent written and verbal communication skills in English are essential.
• Knowledge of CMS, Medicare/Medi-Cal is required.
• Familiarity with Joint Commission, CMS, CDPH requirements.
• Ability to establish and maintain effective working relationships across the organization.
• Ability to facilitate and lead interdisciplinary rounds.
• AHA Basic Life Support.
• De-escalation certification upon hire; Upon recertification, SAMA Certification required.
• Hospital Fire and Life Safety Card (Los Angeles City Employees only).
• Bilingual communication skills are a plus.

Responsibilities

• Interview patients and significant others to obtain information for discharge planning.
• Communicate social and family information to the medical team to enable understanding of recommendations.
• Determine social assessments for discharge planning and coordinate post-hospital services as needed.
• Interfere and intervene in cases of abuse, neglect, or resource gaps; make referrals.
• Participate in interdisciplinary rounds and coordinate with community resources.

Skills

English communication

Interdisciplinary collaboration

HIPAA compliance

Discharge planning knowledge

De-escalation training

AHA Basic Life Support

Education

Bachelor’s Degree in Social Work (BSW) or related degree in human services

Tools

CMS/Medicare knowledge

Job description

Southern California Hospitals is seeking a Discharge Planner to deliver social services, conduct psychosocial evaluations, and coordinate discharge planning with families, physicians, and care teams. You will ensure clear documentation in the medical record and help patients understand medical conditions and post-discharge needs.

The role requires a BSW or related degree, strong English communication, and knowledge of CMS/Medicare guidelines.