Discharge & Social Services Navigator (MSW/BSW)

Potomac Valley Rehabilitation and Healthcare Center; Rockville (MD); On-site; USD 55,000 - 75,000; Full time

Job summary

Potomac Valley Rehabilitation and Healthcare Center in Rockville, MD seeks a Discharge Planner & Social Services Assistant to coordinate discharge plans and connect residents with follow-up services. The role involves psychosocial assessments, trauma screening, and documenting care plans.

You will work with nursing, therapy, and administrative staff to promote timely, safe discharges while supporting residents and families with education and advocacy through the transition to home or other

Qualifications

• Experience in discharge planning or social services within healthcare settings.
• Knowledge of community resources and post-acute care options.
• Strong communication and interpersonal skills with residents and families.
• Organizational and time-management abilities.
• Proficiency with EHR and standard office software.
• Social Work education; licensure in social services or pursuing licensure.
• Prior SNF or rehabilitation center experience preferred.

Responsibilities

• Coordinate discharge plans and follow-up services for residents.
• Conduct psychosocial assessments and trauma screens as part of care planning.
• Maintain accurate documentation and update care plans as needed.
• Collaborate with nursing, therapy, and administrative staff to ensure safe discharges.
• Provide education, advocacy, and emotional support to residents and families.

Skills

Discharge planning

Communication skills

Time management

EHR proficiency

Interpersonal skills

Licensure in social work

SNF experience

Education

Bachelor's or Master's in Social Work

Tools

Electronic Health Records

Job description

Potomac Valley Rehabilitation and Healthcare Center in Rockville, MD seeks a Discharge Planner & Social Services Assistant to coordinate discharge plans and connect residents with follow-up services. The role involves psychosocial assessments, trauma screening, and documenting care plans.

You will work with nursing, therapy, and administrative staff to promote timely, safe discharges while supporting residents and families with education and advocacy through the transition to home or other