Jobs · OTHR · Michigan

Social Worker (Discharge Planner) - Full Time

Trinity Health · Ann Arbor, MI · 1 wk ago
OTHRFull-time

About the role

Glacier Hills is seeking a dedicated Full-Time Social Worker to support their 44-bed subacute unit, focusing on discharge planning and care transitions.

Responsibilities

  • Leading discharge planning for subacute residents, ensuring safe transitions to home or other care settings
  • Collaborating with interdisciplinary teams to coordinate services, equipment, and follow-up care
  • Engaging residents and families early to establish discharge goals and expectations
  • Identifying and addressing barriers to discharge (social, financial, or environmental)
  • Conducting psychosocial, cognitive, and mood assessments to guide care plans
  • Educating residents and families on Medicare, Medicaid, and post-acute care options
  • Connecting individuals with community resources and support services
  • Maintaining accurate, timely documentation

Requirements

  • Active Michigan Social Worker license
  • Bachelor’s or Master’s degree in Social Work or related field
  • At least one year of healthcare experience; discharge planning experience strongly preferred
  • Experience in subacute, rehab, or long-term care preferred
  • Strong communication, organization, and care coordination skills

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