Discharge Planner Social Worker

About the role

Fairview Skilled Rehabilitation & Nursing Center is seeking a compassionate and organized Discharge Planner / Social Worker to coordinate safe and timely discharges for our residents. This position works closely with residents, families, physicians, nursing, therapy, and community providers to ensure a smooth transition from our facility to the next level of care.

Responsibilities

• Coordinate discharge planning from admission through discharge.
• Complete psychosocial assessments and provide emotional support to residents and families.
• Arrange home care, medical equipment, transportation, and community services.
• Communicate with hospitals, physicians, insurance companies, and outside providers.
• Maintain accurate documentation and ensure compliance with state and federal regulations.
• Participate in care plan meetings and collaborate with the interdisciplinary team.

Requirements

• MSW preferred; LMSW/LCSW preferred.
• Experience in skilled nursing, rehabilitation, hospital, or case management preferred.
• Strong communication, organizational, and teamwork skills.
• Knowledge of Medicare, Medicaid, and discharge planning is a plus.