POSITION SUMMARY

The Social Work & Discharge Planning Assistant is responsible for assisting in the operation of the 

center’s Social Work & Discharge Planning department; ensuring that the social, psychological, and 

physical needs of all residents in the center are being met. This position is responsible for coordinating 

all aspects of the patient’s safe discharge from the center back to home or a lower level of care. 

ESSENTIAL DUTIES & RESPONSIBILITIES

GENERAL RESPONSIBILITIES

Document care plans and services provided in the resident’s medical record in accordance with state 

and federal regulatory requirements and company policies. Ensure all entries are accurate, timely, 

and descriptive of the services provided. 

Complete assigned sections on the Minimal Data Set (MDS) in timely manner. 

Arranges and obtains needed durable medical equipment, clothing, and personal items for residents.

Partners with the clinical team in training staff on resident’s behaviors and appropriate behavioral 

interventions. 

Coordinates home health, hospice, and supportive services, including making referrals to and 

obtaining services from outside agencies as needed. 

Participates in leadership team by actively contributing to decision making, grievance follow-up, 

building and company-wide initiatives and attending leadership meetings such as Stand-Up, Quality 

Assurance Performance Improvement (QAPI), and other meetings as required. 

Performs other duties as assigned. 

PREREQUISITES

Bachelor's degree in social work, human services, or related field preferred. 

Two (2) years of experience in Social Work or related role

Experience in skilled nursing or healthcare environment preferred. 

GENERAL RESPONSIBILITIES

Document care plans and services provided in the resident’s medical record in accordance with state 

and federal regulatory requirements and company policies. Ensure all entries are accurate, timely, 

and descriptive of the services provided. 

Complete assigned sections on the Minimal Data Set (MDS) in timely manner. 

Arranges and obtains needed durable medical equipment, clothing, and personal items for residents.

Partners with the clinical team in training staff on resident’s behaviors and appropriate behavioral 

interventions. 

Coordinates home health, hospice, and supportive services, including making referrals to and 

obtaining services from outside agencies as needed. 

Participates in leadership team by actively contributing to decision making, grievance follow-up, 

building and company-wide initiatives and attending leadership meetings such as Stand-Up, Quality 

Assurance Performance Improvement (QAPI), and other meetings as required. 

Performs other duties as assigned.