Discharge Planning & Care Coordination Specialist

Life Care Centers of America; Riverview (MI); On-site; USD 52,000 - 75,000; Full time

Job summary

Life Care Centers of America is seeking a Discharge Planner / Care Coordination Specialist to support residents and families through the discharge process in a skilled nursing and rehabilitation setting. You will collaborate with the interdisciplinary team, coordinate post-discharge services, and address barriers to ensure a smooth transition.

The role emphasizes strong communication, organizational skills, and a proactive approach to patient advocacy, with a focus on documentation and education

Qualifications

• Degree in Social Work or related field preferred; equivalent relevant healthcare experience will be considered.
• Two years’ experience in health-care social work preferred.
• Strong organizational, communication, and problem-solving skills.

Responsibilities

• Coordinate safe and timely resident discharge planning from admission through discharge.
• Communicate regularly with residents, families, the interdisciplinary team, physicians, therapy, nursing, and community providers.
• Coordinate home health, durable medical equipment, transportation, follow-up appointments, and other post-discharge services.
• Identify and address potential discharge barriers early.
• Participate in interdisciplinary and discharge planning meetings.
• Maintain accurate and timely documentation and discharge tracking.
• Assist with resident and family education regarding discharge plans and next steps.
• Ensure outstanding discharge-related items are followed through to completion.
• Support a positive resident and family experience throughout the transition of care.

Skills

Discharge planning

Care coordination

Communication

Organization

Interdisciplinary teamwork

Education

Bachelor’s degree in Social Work or related field

Two years healthcare social work experience (preferred)

Job description

Life Care Centers of America is seeking a Discharge Planner / Care Coordination Specialist to support residents and families through the discharge process in a skilled nursing and rehabilitation setting. You will collaborate with the interdisciplinary team, coordinate post-discharge services, and address barriers to ensure a smooth transition.

The role emphasizes strong communication, organizational skills, and a proactive approach to patient advocacy, with a focus on documentation and education