Social Worker: In-Home & Facility Care Coordinator

Your Health Organization; South Carolina; On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Competitive compensation

401K match

HSA

Generous PTO

Job summary

Your Health Organization in the Aiken area seeks a compassionate Social Worker to support patients across facilities and homes. You will perform advance care planning, cognitive assessments, placement, and resource coordination within your care team.

This full-time role requires daily travel with reliable transportation to visits at homes and facilities (ALF/ILFs) in your designated service area, ensuring timely care, documentation, and follow-up.

Qualifications

• Role involves advance care planning, cognitive assessments, placement, and resources coordination within the care team.
• Must demonstrate compassionate patient care and strong communication with patients, families, and referral sources.
• Daily travel to patient homes and facilities requires reliable transportation.

Responsibilities

• Initiate Advance Care Planning for patients in assigned care teams and facilities.
• Complete Daily Comprehensive Assessments and Daily Care Plans for patients.
• Document Chronic Care Management activities and meet daily productivity goals.
• Coordinate discharges and placements at contracted facilities and maintain referral relationships.

Skills

Compassionate

Communication

Care planning

Patient advocacy

Job description

Your Health Organization in the Aiken area seeks a compassionate Social Worker to support patients across facilities and homes. You will perform advance care planning, cognitive assessments, placement, and resource coordination within your care team.

This full-time role requires daily travel with reliable transportation to visits at homes and facilities (ALF/ILFs) in your designated service area, ensuring timely care, documentation, and follow-up.