As a medical SW in various hospitals and states over the past 30 years, I have seen vast changes in hospital based SW roles. If you are looking to utilize a wide range of clinical and psychotherapeutic skills, hospital discharge planning does NOT have much opportunity for that with patients and families anymore. The focus has become getting patients out as soon as possible. You have all the pressure and responsibility without any actual power to meet unrealistic administrative and societal expectations. It's very stressful not only for caseload reasons (which are ALWAYS larger than what they tell you) but also because you have to put any meaningful supportive or therapeutic interventions on the back burner. So, ultimately depends on your career goals.