Social Services / Discharge Planner
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. The position involves assessing residents’ social, emotional, psychological, and family needs; providing support and counseling; coordinating discharge plans and referrals; and helping residents and families understand care options and make informed healthcare decisions. The planner also maintains timely documentation, supports resident rights and confidentiality, and builds relationships with facility departments and external community partners. This is a full-time position at San Francisco Post Acute in San Francisco, California. Compensation is $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.
- Master of Social Work (MSW).
- Experience in skilled nursing, post-acute care, or discharge planning.
- Knowledge of PointClickCare (PCC).
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 tracking 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 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.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
