Social Worker/Discharge Planner

Hc; Medford (NY); On-site; USD 65,000 - 80,000; Full time

Job summary

Hc is seeking a compassionate Social Worker/Discharge Planner to support residents and families from admission through discharge. You will attend daily meetings, drive discharge planning, and coordinate care transitions with attention to psychosocial needs.

The role emphasizes timely discharge information gathering, documenting notes in ECS, and contributing to discharge audits. Experience in long-term care settings and EMR systems is valued.

Qualifications

• Bachelor's degree in Social Work or related field required or MSW preferred.
• Experience in social service office is a plus.
• Prior experience in skilled nursing facility, rehab center, or long-term care preferred.
• Knowledge of discharge planning and community resources.
• Ability to manage multiple responsibilities in a fast-paced environment.
• Familiarity with EMR systems (PCC and MDS 3.0 a plus).

Responsibilities

• Attend daily morning meetings and weekly UR meetings.
• Lead and complete all discharges; gather discharge information within 48 hours of admission.
• Plan and attend discharge care plan meetings and address discharge concerns.
• Document discharge notes in ECS and complete discharge audit forms.
• Assist with annual post form audit and discharge-related processes.
• Address psychosocial needs of residents and coordinate care plans.
• Facilitate safe and effective transitions to resident care and services.

Skills

Strong communication and interpersonal

Multitasking in fast-paced env

Discharge planning knowledge

Education

Bachelor's degree in Social Work or related field

MSW preferred

Tools

EMR systems (PCC, MDS 3.0)

Job description

Social Worker/Discharge Planner

A well-established Skilled Nursing Facility is seeking a compassionate and driven Social Worker/Discharge Planner to join our team. This role is ideal for someone who is passionate about supporting residents and their families while ensuring a smooth care experience from admission through discharge.

Social Worker/Discharge Planner

The position requires attending daily morning meetings, weekly UR meetings, leading, planning and completing all discharges. Gathering discharge information from new skilled patients within 48 hours of admission. Planning and attending discharge care plan meetings, addressing discharge concerns, documenting discharge notes in ECS, completing discharge audit forms, assist with annual post form audit. Social Worker is responsible for addressing the psychosocial needs of residents, coordinating care plans, and facilitating safe and effective transitions. This position plays a key role in enhancing resident quality of life and overall satisfaction.

QUALIFICATIONS/REQUIREMENTS:

• Bachelor\'s degree in Social Work or related field (Psychology, Nursing or Care Management); MSW preferred


• Experience in Social Service office preferred, but not required


• Prior experience in a skilled nursing facility, rehabilitation center, or long-term care setting preferred


• Strong communication and interpersonal skills


• Knowledge of discharge planning and community resources


• Ability to manage multiple responsibilities in a fast-paced environment


• Familiarity with EMR systems; PCC and MDS 3.0 experience a plus

Salary Range: $65,000-$80,000 a year (based on Experience)

An Equal Opportunity Employer

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