Care Transitions Social Worker
Listed on 2026-01-24
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Healthcare
Community Health, Mental Health
Care Transitions Social Worker (Rochester Hills, MI)
Join our Well Bridge of Rochester Hills team!
The Care Transitions Social Worker works with the Social Services Director to provide social services to residents and their families to assist them in dealing with the impact of illness and extended care placement. This position participates in resident care management and ensures that needs are met through Social Service programming and appropriate referrals to outside agencies and community resources.
You will earn- Competitive Wages
- Yearly Wage Increases
- Medical – no deductible or co-pay AND low premium cost!
- Dental & Vision
- Accrued Paid Time Off (PTO)
- Holiday Pay
- Career Advancement opportunities - grow within the company!
- Tution Reimbursement
- Company paid Short Term Disability & Life Insurance
- Unlimited Referral Bonuses
- 401k with employer match
- Attentive & Supportive Leadership!
- Monday - Friday schedule
- Day Shift
- Identify the medically-related social service needs of residents and assist with ensuring those needs are met by the appropriate discipline.
- Welcome new admission residents, provide support with settling in, and initiate a trusting relationship to gain the resident’s confidence.
- Maintain contact with family (with resident’s permission) to report changes in behavior, psychosocial functioning, discharge planning, and encouragement to participate in care planning.
- Assist residents/responsible parties with financial and legal matters such as drafting petitions for guardianship/conservatorship, assisting with pre-paid funeral arrangements, etc.
- Coordinate discharge planning services, including placing a resident on waiting lists for community options, arranging intake for home care services, and assisting with transfer arrangements to other facilities.
- Identify and support residents’ individual needs and preferences through assessment and care planning.
- High School Diploma, or equivalent.
- 2+ years of experience as a Social Worker or Discharge Planner in a skilled nursing facility, rehab center, or adult foster care home.
- Excellent computer skills; experience with electronic charting is a plus.
- Excellent customer service skills with a commitment to delivering care that is excellent, passionate, and innovative.
- Team player who is dedicated to supporting colleagues and getting the job done.
Locations referenced:
Rochester, Troy, Auburn Hills, Shelby, Utica, Bloomfield Hills, Pontiac, Sterling Heights, Birmingham, Clawson, Sylvan Lake, Lake Orion, Beverly Hills, Keego Harbor, Berkley, Royal Oak, and surrounding areas.
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