Social Worker Discharge Planner

Our take on this role

About this role

Coordinate discharge plans for patients moving from an LTACH acute hospital to post-hospital settings. Work with patients, families, clinical teams, and community agencies to address discharge barriers and arrange referrals.

What could you bring from clinical work?

• Social workers: Addressing psychosocial and financial discharge barriers could help you coordinate resources with patients, families, and community agencies.
• Nurses: Your experience coordinating hospital transitions may help you refine discharge plans with case managers and clinical teams.
• PTs: Identifying mobility barriers and recommending discharge placements could help you address discharge barriers and refine post-hospital options.
• OTs: Experience identifying daily-living, caregiver, and environmental barriers may help you coordinate resources that address patients' discharge needs.
• SLPs: If you've explained communication or swallowing service needs to families and teams, that experience could help you communicate referral needs to external agencies.

Full job description from Landmark Management Services of Florida, LLC

Landmark Hospital of Columbia has an exciting opportunity for a seasoned hospital-based social worker/discharge planner to join our dedicated and professional team. Landmark Hospitals are committed to providing the highest level of customer service and quality of care to those we serve.

Summary: The Discharge Planner provides discharge planning and coordination for a group of patients in support of the social work and case management departments. Works directly with patients, families, and referral/community resources to address the various needs and barriers surrounding patient discharge planning (financial, clinical, psycho-social, logistical, etc.). This position also supports communication with external agencies to provide referrals and ensure a smooth transition from the LTACH acute hospital to the post-hospital setting. Works closely with admissions coordinators, RN Case Managers, and clinical teams to refine discharge plans and options.

The Discharge Planner performs a variety of tasks related to coordinating care. A high degree of creativity and initiative is required to ensure that patients' unique needs are met in the most appropriate, timely, and cost-effective manner. The ideal candidate must be highly detail-oriented and goal-oriented, with superior analytic, critical-thinking, and time-management skills. They must have a positive, empathetic personality and the ability to work effectively with others as part of a multidisciplinary team in a complex care environment. Excellent communication and interpersonal skills are vital to the success of the Discharge Planner, who must also consistently display a professional attitude when faced with challenging cases.

Requirements for Discharge Planner / Social Worker:

• 2-year associate degree in a health-related field or bachelor's (Social Work preferred) or clinical license (such as LPN, RN, RT, PT, OT, or similar)
• Minimum of 1 year of experience with patient care and interaction, preferably in an LTACH or Acute care hospital setting
• Ability to develop and maintain positive working relationships
• Strong computer skills preferred

About us:

Landmark Hospitals is a privately owned, critical care hospital system with locations across the Southeastern United States. Landmark Hospitals specializes in providing the highest level of care for medically complex patients who stay with us for an average of 25-30 days. We are proud of the healing that happens here, made possible by our amazing employees. We offer our employees a collaborative, supportive work environment, competitive benefits, and flexibility, all found only in a "boutique" hospital setting.

We are committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state, and local laws. We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.