Jobs · OTHR · New York

Social Worker – Discharge Planner

Excelsior Care Group · Hempstead, NY · 1 mo ago
On-siteOTHR$75k–$80k/yrFull-time

Facility: Nassau Rehabilitation and Nursing Center – Hempstead, NY

Schedule: Full-Time, Monday–Friday, 9:00 AM–5:00 PM

Salary: $75,000–$80,000 annually (short‑term unit)

About the role

Join our team as a Social Worker – Discharge Planner. The ideal candidate will have a strong background in discharge planning and healthcare, with experience helping residents and families navigate successful transitions of care.

Responsibilities

  • Coordinate and manage the discharge planning process for residents.
  • Conduct psychosocial assessments and interviews with residents and families.
  • Develop individualized discharge plans based on each resident’s needs and goals.
  • Coordinate with residents, families, physicians, nursing staff, and interdisciplinary team members.
  • Arrange appropriate post‑discharge services, equipment, transportation, and community resources.
  • Communicate with hospitals, home health agencies, rehabilitation providers, and other healthcare organizations to facilitate safe transitions.
  • Provide education and support to residents and families regarding discharge plans and available resources.
  • Participate in care plan meetings and interdisciplinary team discussions.
  • Maintain accurate and timely documentation in accordance with facility policies and regulatory requirements.
  • Advocate for residents while promoting independence, dignity, and continuity of care.

Qualifications

  • Minimum of 1–2 years of experience in discharge planning, preferably in a skilled nursing facility or healthcare setting.
  • 2 years of Social Worker experience in an SNF preferred.
  • Bachelor’s Degree in Social Work or a related field required.
  • Experience with Sigma EMR preferred.
  • Strong communication, organizational, and interpersonal skills.
  • Excellent knowledge of discharge planning and community resources.
  • Compassionate, resident‑centered approach.
  • Ability to work effectively with residents, families, and multidisciplinary healthcare teams.

Benefits

  • Comprehensive Medical and Dental Insurance.
  • Generous Paid Time Off (PTO).
  • 401(k) Retirement Plan.
  • Employee Recognition Program.
  • Supportive and collaborative work environment.
  • Employee discounts and company perks.

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