Discharge Planner – Rehabilitation

Faircape Health

Wes-Kaap

Remote

ZAR 350,000 - 520,000

Full time

7 days ago

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Benefits offered by this job

Collaborative environment

Patient-focused care

Additional leave rewards

Quarterly performance bonuses

Internet discounts

Study leave

Above market salaries

Job summary

Faircape Health Institute seeks a compassionate Discharge Planner / Rehabilitation Coordinator to lead the discharge process and coordinate rehabilitation goals within a multidisciplinary team in Tokai. You will engage patients and families, align goals, and ensure smooth transitions from facility to home or further care.

The role requires a Bachelor’s degree in Social Work, Occupational Therapy, or Physiotherapy, with experience in discharge planning or rehab settings.

Qualifications

Bachelor’s Degree in Social Work, Occupational Therapy, or Physiotherapy.
Experience in discharge planning, case management, or rehabilitation environments.
Experience in acute or sub‑acute settings preferred.
Proven healthcare experience.

Responsibilities

Coordinate discharge plans with the MDT to ensure timely transitions.
Engage with patients and families to align goals and expectations.
Attend MDT meetings and document discharge activities.
Coordinate post‑discharge follow‑ups and referrals.
Support staff training and health promotion initiatives.

Skills

Strong communication

Organisational skills

Multidisciplinary teamwork

Empathetic, patient‑centred approach

Education

Bachelor’s Degree in Social Work

Bachelor’s Degree in Occupational Therapy

Bachelor’s Degree in Physiotherapy

Job description

Faircape Health Institute is a leader in sub-acute rehabilitation and long-term care, grounded in clinical excellence, innovation, and a strong foundation in the science of recovery. Our approach is firmly rooted in data-driven, evidence-based practices, ensuring that every aspect of care is informed by the latest clinical research and best-practice methodologies.

We are seeking a compassionate, organised, and patient-focused Discharge Planner / Rehabilitation Coordinator to join our dynamic sub-acute care team in Tokai. This role plays a critical part in ensuring patients experience a smooth, well-coordinated journey from admission through to discharge, with a strong focus on achieving optimal rehabilitation outcomes.

Working within a collaborative multidisciplinary team, you will be responsible for aligning patient goals, supporting recovery, and coordinating all aspects of discharge planning to ensure safe and sustainable transitions of care.

This opportunity is ideal for a Social Worker, Occupational Therapist, or Physiotherapist who is passionate about patient recovery, values a holistic approach to care, and thrives in a role that combines clinical insight, coordination, and meaningful patient and family engagement.

Working Schedule

Five (5) days per week, consisting of four (4) weekdays and one (1) weekend day (either Saturday or Sunday) each week.
Weekdays: 08h00 - 17h00
Weekend: 09h00 - 14h00

What We Offer:
At Faircape, we value our employees and offer a range of benefits, including:

A collaborative and supportive environment where you’ll work alongside experts who share your passion for making a meaningful impact.
Be part of a patient-focused and quality-driven environment
Additional leave rewards for long-term commitment.
Recognition for your dedication through quarterly performance bonuses.
Exclusive discounts on high-speed internet, ensuring you stay connected.
Study leave to support continued professional development and further education.
Above market salaries aligned with experience and performance.

Role Purpose

To coordinate the discharge planning process and support rehabilitation outcomes by working closely with the multidisciplinary team, patients, and families to ensure a smooth and well-managed transition from facility to home or further care.

Responsibilities

Specific duties include but are not limited to the following:

Discharge Planning & Patient Coordination

Attend and participate in MDT meetings to stay aligned with patient progress, rehabilitation goals, discharge planning, and expected length of stay
Coordinate individualised discharge plans in line with each patient’s medical, functional, and social needs
Engage with patients and families throughout the rehabilitation process, ensuring clear communication regarding goals, progress, and discharge expectations
Assist with discharge arrangements, including coordination of support services, home care, transport, and follow-up requirements
Facilitate family meetings where required and provide emotional support to patients and families
Liaise with internal teams and external healthcare providers to ensure continuity of care and safe discharge planning
Conduct basic discharge risk assessments and elevate concerns where necessary
Advocate for the best interests and wellbeing of patients at all times
Report any suspected abuse or neglect in line with the Older Persons Act and organisational procedures
Ensure accurate and timeous documentation of all discharge planning activities
Support a positive patient experience by ensuring patients and families feel informed, prepared, and supported throughout their rehabilitation journey
Assist with staff training, patient education, and health promotion initiatives within area of competence

Rehabilitation Coordination

Facilitate sub-acute patient viewings and introductions to the rehabilitation programme
Ensure patients and families clearly understand MDT goals, expected length of stay, discharge planning, and medical aid feedback
Confirm discharge dates and coordinate discharge-related communication with the MDT and families
Ensure discharge reports, patient experience surveys, follow-up appointments, and discharge documentation are completed accurately and timeously
Coordinate post-discharge clinic bookings and specialist referrals where required
Complete discharge administration and follow up on patients transferred back to hospital where applicable

Requirements:

Qualifications (one of the following):

Bachelor’s Degree in Social Work, or Bachelor’s Degree in Occupational Therapy, or Bachelor’s Degree in Physiotherapy

Experience and Knowledge

Proven experience in a similar or healthcare-related role
Experience in discharge planning, case management, or rehabilitation environments (advantageous)
Exposure to an acute or sub-acute setting preferred

Skills and Attributes