Discharge Planning Social Worker

Ely Manor; Michigan; On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401K with matching funds

Life Insurance

Employee discounts

Tuition Reimbursement

Student Loan Reimbursement

Job summary

Ely Manor is seeking a Social Services Designee / Discharge Planner to coordinate safe, timely discharges for residents in a skilled nursing setting. You will support residents and families during the discharge process, addressing psychosocial needs and coordinating post-acute services to ensure housing, transportation, and community resources are in place.

Work with an interdisciplinary team to develop individualized care plans, review advance directives, and provide counseling as part of

Qualifications

• High school diploma or GED required.
• 1+ years of discharge planning, case management, or care coordination experience preferred.
• Experience in skilled nursing, post-acute, or long-term care environment preferred.
• Working knowledge of discharge planning regulations, resident rights, and post-acute resources.

Responsibilities

• Meet with resident/responsible party at/shortly after admission and provide ongoing follow-up through discharge.
• Collaborate with residents, families, physicians, nursing, therapy, and case management to identify discharge needs and levels of care.
• Arrange post-discharge services including home health, durable medical equipment, hospice, outpatient services, transportation, and community resources.
• Participate in 72-hour care plan meetings, care conferences, discharge planning meetings, and other meetings as assigned.
• Develop an individualized discharge care plan with the interdisciplinary team, family, and provider to meet community needs.

Skills

Discharge planning

Care coordination

Communication

Education

High school diploma/GED

Job description

Ely Manor is seeking a Social Services Designee / Discharge Planner to coordinate safe, timely discharges for residents in a skilled nursing setting. You will support residents and families during the discharge process, addressing psychosocial needs and coordinating post-acute services to ensure housing, transportation, and community resources are in place.

Work with an interdisciplinary team to develop individualized care plans, review advance directives, and provide counseling as part of