Social Services/Discharge Planner

Nampa of Cascadia, LLC; Nampa (ID); On-site; USD 55,000 - 75,000; Full time

Job summary

Nampa of Cascadia, LLC seeks a Social Services/Discharge Planner to advocate for residents, coordinate discharge processes, and support post-discharge needs. You will work with families, physicians, and staff to ensure smooth transitions and comprehensive care planning.

The role requires strong communication and organizational skills, valid driver's license, and preferred MSW with LCSW/LSW licensure. Post-acute/skilled nursing experience is preferred, and all state checks apply before patient

Qualifications

• Demonstrates strong verbal and written communication and strong organizational abilities.

Responsibilities

• Acts as advocate for residents and coordinates discharge planning with families, physicians and staff.
• Maintains clinical documentation on residents referred to social work.
• Provides information to residents and families regarding community agencies and support services.
• Serves as liaison between residents, families and community agencies.
• Assists in development of the total plan of care and case conferences for residents referred to social services.

Skills

Verbal & written communication

Organization skills

Education

MSW or equivalent

LCSW/LSW license preferred

Job description

Job Type
Full-time

Description

The responsibility of the Social Services/Discharge Planner is to act as an advocate for the residents. The Social Services/Discharge Planner protects vulnerable residents and ensures that their best interest is observed and helps them to find remedies to their situation. The Social Services/Discharge Planner also holds the responsibility of monitoring and completing the steps of residents' discharges.

Note: All employees of Cascadia Healthcare are required to submit and be cleared to work in the facility per each state's specific background check requirements prior to contact with patients/residents.

Essential Functions

• Assesses the psychosocial status of patients related to the patient’s illness and environment and communicates findings to the registered nurse.
• Performs the tasks of a discharge planner working with families, patients, physicians and staff to ensure proper documentation and orders are in place and patients have everything they need for a successful discharge.
• Actively participates in discharge planning and advises on issues relating to resident's/patient's practical and enviro mental needs post-discharge.
• Carries out social evaluations and plans person-centered intervention based on evaluation findings.
• Maintains clinical documentation on all patients referred to social work.
• Provides information and coordinates referral services for residents/patients and families/caregivers regarding resident's/patient's practical and environmental needs.
• Provides information to residents/patients or families/caregivers regarding community agencies and other available services.
• Serves as liaison between residents/patients or families/caregivers and community agencies.
• Maintains collaborative relationships with facility co-workers to support resident/patient care.
• Participates in the development of the total plan of care and case conferences for residents/patients referred to social services, as required.
• Assists physician and other team members in understanding significant social and emotional factors related to residents'/patients' health problems.
• Addresses resident behaviors to prevent harm to themselves or others.
• Coordinates medication review regimen to determine gradual dose reduction to the lowest possible dose.

Knowledge/Skills/Abilities

• Demonstrates good verbal and written communication, and organization skills.

Requirements

Licenses/Certification

• LCSW, LSW, or MSW license preferred.
• Must have a valid driver's license.

Experience

• Experience in post-acute/ skilled nursing preferred.