Social Services / Discharge Planner

About the role

San Francisco Post Acute | Full-Time | $30-$40 per Hour, DOE

Make a Difference in the Lives of Our Residents!

San Francisco Post Acute is seeking a compassionate, organized, and proactive Social Services / Discharge Planner to join our team full-time!

In this role, you will support residents and their families throughout their care journey, helping them navigate healthcare needs, access community resources, and prepare for safe and successful transitions after discharge. You will collaborate with our interdisciplinary team to promote resident independence, emotional well-being, and quality of life.

If you are passionate about helping others and building meaningful relationships with residents and families, we encourage you to apply!

Key Responsibilities

• Assess residents' social, emotional, psychological, and family needs to 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.

Qualifications

• Bachelor's degree in Social Work or Human Services preferred
• At least two years of supervised social work experience in a healthcare setting working directly with individuals.
• Master of Social Work (MSW) preferred.
• Experience in skilled nursing, post-acute care, or discharge planning preferred.
• Knowledge of PointClickCare (PCC) preferred.
• 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.

Compensation & Schedule

• Schedule: Full-Time
• Pay: $30-$40 per hour, depending on experience
• Location: San Francisco Post Acute, San Francisco, CA