Social Worker — Discharge & Care Coordination (SNF)

Care Connection Rehabilitation Center; Rahway (NJ); On-site; USD 63,000 - 77,000; Full time

Benefits offered by this job

Medical & Dental Coverage

Generous PTO

401(k) Retirement Plan

Employee Recognition Program

Team-oriented Work Environment

Employee Discounts

Job summary

Care Connection Rehabilitation Center in Rahway, NJ is seeking an experienced Social Worker to join our skilled nursing and rehabilitation team. You will oversee social work, care planning, and discharge planning for residents.

The ideal candidate has at least 2 years of SNF experience, excellent communication, and hands-on PCC EMR experience. You will collaborate with an interdisciplinary team to ensure smooth admissions and transitions, while advocating for residents' needs.

Qualifications

• Minimum 2 years of social work experience in SNF or rehabilitation setting.
• Experience with discharge planning and transitions of care.
• Experience using PCC EMR (PointClickCare) preferred/required.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced skilled nursing environment.

Responsibilities

• Provide comprehensive social work services and psychosocial support to residents and families.
• Oversee the social work process for all resident admissions and discharges.
• Initiate and coordinate discharge planning from admission through transition to the community or next level of care.
• Identify potential barriers to discharge and develop appropriate solutions and resources.
• Coordinate community resources, home care services, medical services, transportation, and other supports as needed.
• Complete required social work assessments, documentation, care plans, progress notes, and follow-up in a timely and accurate manner.
• Participate in interdisciplinary care planning meetings and collaborate with nursing, rehabilitation, medical staff, admissions, and other departments.
• Advocate for resident needs, preferences, rights, and quality of life.
• Maintain communication with residents, families, healthcare providers, and outside agencies throughout the resident's stay.
• Monitor compliance with applicable regulatory and facility requirements related to social work services.
• Maintain accurate and confidential resident records in the PCC EMR system.
• Provide continuity of social work services from admission through discharge.
• Support residents and families in understanding care options, discharge plans, and available community resources.
• Perform other social work duties as assigned.

Skills

Social work

Communication

Organization

Discharge planning

Interdisciplinary teamwork

Tools

PCC EMR (PointClickCare)

Job description

Care Connection Rehabilitation Center in Rahway, NJ is seeking an experienced Social Worker to join our skilled nursing and rehabilitation team. You will oversee social work, care planning, and discharge planning for residents.

The ideal candidate has at least 2 years of SNF experience, excellent communication, and hands-on PCC EMR experience. You will collaborate with an interdisciplinary team to ensure smooth admissions and transitions, while advocating for residents' needs.