Care Transitions Social Work/Discharge Planner

WellBridge of Rochester Hills
Rochester Hills, MI


Join our WellBridge 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
PLUS we offer you best in class benefits:
  • 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!
  • Tuition Reimbursement
  • Company paid Short Term Disability & Life Insurance
  • Unlimited Referral Bonuses
  • 401k with employer match
  • Attentive & Supportive Leadership!
We can work with your scheduling needs:
  • Monday - Friday schedule
  • Day Shift
Some of your duties may include:
  • 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 in order to gain the confidence of the resident.
  • Maintaining contact with family (with resident’s permission) to report on changes in behavior, psychosocial functioning, discharge planning, and encouragement to participate in care planning.
  • Assisting residents/responsible parties with financial and legal matters such as drafting petitions for guardianship/conservatorship, assisting with pre-paid funeral arrangements, etc.
  • Coordinating discharge planning services, i.e., helping to place a resident on a waiting list for community congregate living, arranging intake for home care services for residents returning home, assisting with transfer arrangements to other facilities.
  • Through the assessment and care planning process, identifying and seeking ways to support residents’ individual needs and preferences, customary routines, concerns and choices.

Qualifications you will need to become a part of our EPIC team:

  • High School Diploma, or equivalent.
  • 2+ years of experience as a Social Worker or Discharge Planner in a skilled nursing facility, rehab center, adult foster care home.
  • Excellent computer skills; experience with electronic charting a plus.
  • Excellent customer service skills with a commitment to delivering Excellent, Passionate, Innovative care!
  • You are a team player, dedicated to doing what it takes to support your team members and get the job done.
Rochester, Troy, Auburn Hills, Shelby, Utica, Bloomfield Hills, Pontiac, Sterling Heights, Birmingham, Clawson, Sylvan Lake, Lake Orion, Beverly Hills, Keego Harbor, Berkley, Royal Oak, Bingham Farms, Lathrup Village, Orchard Lake, Madison Heights, Romeo, Franklin, Huntington Woods, Clinton, Oxford, Pleasant Ridge, Fraser, Waterford, Southfield, Center Line, Ferndale, Hazel Park, Oak Park, Warren, Mount Clemens, Clarkston, Roseville, Eastpointe, Farmington Hills, Saint Clair Shores, Farmington

Text: EPIC to 866.686.0150 to sign up for Job Alerts!
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Posted 2026-02-07

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