Social Worker

Social Worker or Psychologist – Discharge Planning

Location: Onsite- Michigan

Schedule: Full-Time | Hourly

Position Summary

Responsible for coordinating safe, effective discharge planning for residents in a Skilled Nursing Facility. Works collaboratively with the interdisciplinary team to address psychosocial needs and ensure smooth transitions of care.

Key Responsibilities

• Coordinate discharge planning from admission through discharge
• Complete psychosocial and behavioral assessments
• Develop and implement individualized discharge plans
• Collaborate with nursing, therapy, physicians, and case management
• Educate residents and families on post-discharge options and resources
• Address barriers to discharge, including social, emotional, and mental health needs
• Ensure compliance with state, federal, and Medicare discharge regulations
• Maintain accurate documentation in the medical record

Qualifications

• BSW/MSW or Psychology degree required
• Michigan licensure or eligibility required
• SNF, hospital, or post-acute experience preferred