Discharge Planner — Social Work & Care Transitions

Valley Health; Winchester (VA); On-site; USD 55,000 - 83,000; Full time

Benefits offered by this job

Zero-Deductible Health Plan

Dental and vision insurance

Paid Time Off

Tuition Assistance

Retirement Savings Match

Employee Assistance Program

Wellness Program

On-campus dining discounts

Job summary

Valley Health is seeking a Discharge Planner to assess patients and develop individualized care plans addressing social, emotional, medical, spiritual, and physical needs. You will coordinate safe, timely discharges for complex cases and provide psychosocial support throughout transitions of care.

You will work with interdisciplinary teams, educate families on resources, and navigate guardianship, advance directives, and protective services as required.

Qualifications

• Bachelor's degree in social work required.
• Master's degree in social work preferred.
• BLS certification (Healthcare Provider) required prior to orientation.
• Experience in medical social work preferred.

Responsibilities

• Coordinate discharge plans with interdisciplinary teams for medically and socially complex patients.
• Educate patients and families on community resources and referrals for continuity of care.
• Provide crisis intervention and psychosocial support for patients and families.
• Assist with guardianship, advance directives, and protective services where needed.
• Ensure compliance with Medicare/Medicaid and insurance requirements for post-acute care.
• Document plans and communicate with care teams to support transitions of care.

Skills

Verbal communication

Written communication

Team collaboration

Critical thinking

Time management

Crisis intervention

Interpersonal skills

Education

Bachelor's degree in social work

Master's degree in social work preferred

Tools

Windows

Microsoft Word

Job description

Valley Health is seeking a Discharge Planner to assess patients and develop individualized care plans addressing social, emotional, medical, spiritual, and physical needs. You will coordinate safe, timely discharges for complex cases and provide psychosocial support throughout transitions of care.

You will work with interdisciplinary teams, educate families on resources, and navigate guardianship, advance directives, and protective services as required.