Social Services / Discharge Planner

PACS Group•San Francisco, CA

19h•Onsite

About The Position

San Francisco Post Acute is seeking a compassionate, organized, and proactive Social Services / Discharge Planner to support residents and their families throughout their care journey. The role helps residents navigate healthcare needs, access community resources, and prepare for safe and successful transitions after discharge. The planner collaborates with the interdisciplinary team to promote resident independence, emotional well-being, and quality of life. This is a full-time position in San Francisco, California, with pay of $30–$40 per hour depending on experience.

Requirements

At least two years of supervised social work experience in a healthcare setting working directly with individuals.
Strong organizational, planning, documentation, and problem-solving skills.
Excellent verbal and written communication skills.
Ability to manage competing priorities while maintaining professionalism, confidentiality, and compassion.
Ability to work effectively with residents, families, healthcare professionals, and community agencies.

Nice To Haves

Bachelor’s degree in Social Work or Human Services preferred.
Master of Social Work (MSW) preferred.
Experience in skilled nursing, post-acute care, or discharge planning preferred.
Knowledge of PointClickCare (PCC) preferred.

Responsibilities

Assess residents’ social, emotional, psychological, and family needs and develop individualized social services plans.
Provide emotional support and counseling to residents and families as they navigate illness, physical limitations, grief, and changes in independence.
Assist residents in achieving the highest practicable level of independence, self-care, and overall well-being.
Coordinate discharge planning with residents, families, healthcare providers, community agencies, and the interdisciplinary team.
Arrange referrals, community services, medical equipment, assistive devices, and other resources needed for safe transitions to home or another care setting.
Help residents and families understand available care options and make informed healthcare decisions.
Coordinate outpatient appointments and on-site ancillary services, including optometry, podiatry, dental, and psychiatric services.
Assist with obtaining community, social service, health, and welfare resources to meet residents’ needs.
Support the tracking of resident belongings and help resolve concerns involving missing, lost, or stolen items.
Maintain accurate and timely documentation of resident social services needs, interventions, and discharge plans.
Build strong working relationships with facility departments and external community partners.
Provide staff education and in-service training as requested.
Maintain resident confidentiality and uphold residents’ rights and dignity.
Perform other duties as assigned.