Social Worker - Long-Term Care & Discharge Planning

ALIYA Healthcare Consulting; Chicago (IL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Flexible Spending Account (FSA)

Life Insurance

Critical Illness Insurance

Short-Term Disability Insurance

Accident Insurance

Hospital Indemnity Insurance

401(k) Retirement Savings Plan

On-Demand Pay Option

Paid Time Off (PTO)

Tuition Reimbursement Program

Job summary

RYZE on the Avenue is seeking a compassionate Social Worker to support residents and families, address psychosocial needs, and assist with care and discharge planning. The role emphasizes resident rights, dignity, and linking to community resources, with collaboration across nursing and other departments.

The ideal candidate will hold a relevant bachelor's degree, prefer Illinois social work licensure, and bring strong communication, interpersonal, and problem-solving abilities to a

Qualifications

• Bachelor's degree in Social Work, Psychology, Human Services, or related field.
• Illinois Social Work licensure or certification preferred.
• Experience in skilled nursing/long-term care or healthcare settings preferred.
• Strong knowledge of psychosocial services, discharge planning, resident rights, and community resources.
• Excellent verbal and written communication skills.
• Strong interpersonal, organizational, and problem-solving skills.
• Compassionate, professional, and resident-focused approach.
• Ability to work effectively with residents, families, and interdisciplinary teams.
• Ability to maintain confidentiality and handle sensitive situations professionally.
• Proficiency with Microsoft Office and electronic medical record systems preferred.

Responsibilities

• Provide social services support to residents and families.
• Assess residents' psychosocial needs and assist in developing individualized care plans.
• Provide emotional support, counseling, and crisis intervention as needed.
• Participate in interdisciplinary care plan meetings and collaborate with nursing and other departments.
• Assist residents and families with adjustment to the facility and changes in health or living circumstances.
• Coordinate discharge planning and assist residents with transitioning to the appropriate level of care.
• Connect residents and families with community resources, financial assistance programs, healthcare services, and other support services.
• Advocate for resident rights, dignity, privacy, independence, and quality of life.
• Assist residents with advance directives, guardianship concerns, and other social service needs.
• Respond to resident and family concerns and work with facility leadership to resolve issues appropriately.
• Maintain accurate and timely documentation in accordance with facility policies and regulatory requirements.
• Assist with admissions, transfers, and discharges as needed.
• Develop and maintain positive relationships with residents, families, community organizations, hospitals, and other referral resources.
• Participate in facility meetings, quality assurance activities, and other interdisciplinary initiatives.
• Maintain compliance with applicable federal, state, and local regulations, including CMS and IDPH requirements.
• Perform other duties as assigned by facility leadership.

Skills

Communication skills

Interpersonal skills

Problem-solving skills

Confidentiality and professionalism

Team collaboration

Education

Bachelor's degree in Social Work or related field

Tools

Microsoft Office

Electronic Medical Records (EMR)

Job description

RYZE on the Avenue is seeking a compassionate Social Worker to support residents and families, address psychosocial needs, and assist with care and discharge planning. The role emphasizes resident rights, dignity, and linking to community resources, with collaboration across nursing and other departments.

The ideal candidate will hold a relevant bachelor's degree, prefer Illinois social work licensure, and bring strong communication, interpersonal, and problem-solving abilities to a