Discharge Planner & Social Services Advocate

San Francisco Post Acute; San Francisco (CA); On-site; USD 41,000 - 55,000; Full time

Job summary

San Francisco Post Acute is seeking a compassionate Social Services / Discharge Planner for a full-time role in San Francisco, CA. The position centers on guiding residents and families through care journeys, coordinating resources, and ensuring safe, supported transitions after discharge.

You will work with an interdisciplinary team to promote independence, emotional well-being, and quality of life for residents in a skilled nursing and post-acute setting.

Qualifications

• Bachelor's degree in Social Work preferred.
• At least two years of supervised social work experience in healthcare.
• MSW preferred; experience in discharge planning is a plus.
• Knowledge of PCC is preferred.

Responsibilities

• Assess residents' social, emotional, psychological, and family needs to develop individualized social services plans.
• Provide emotional support and counseling to residents and families navigating illness, grief, and changes in independence.
• Assist residents in achieving the highest practicable level of independence and well-being.
• Coordinate discharge planning with residents, families, healthcare providers, and team.
• Arrange referrals and resources for safe transitions to home or another care setting.
• Help residents and families understand care options and make informed decisions.
• Coordinate outpatient appointments and on-site services (optometry, podiatry, dental, psychiatry).
• Maintain documentation of social services needs, interventions, and discharge plans.

Skills

Social Work

Discharge Planning

Care Coordination

Communication

Documentation

Family Support

Education

Bachelor's degree in Social Work

Master of Social Work (MSW)

Tools

PointClickCare (PCC)

Job description

San Francisco Post Acute is seeking a compassionate Social Services / Discharge Planner for a full-time role in San Francisco, CA. The position centers on guiding residents and families through care journeys, coordinating resources, and ensuring safe, supported transitions after discharge.

You will work with an interdisciplinary team to promote independence, emotional well-being, and quality of life for residents in a skilled nursing and post-acute setting.