About The Position

The Complex Case Coordinator focuses on discharge planning for patients in the hospital with complex needs. This position ensures organizational excellence related to customer service and quality of care while promoting excellence in the cultural experience at assigned hospital. This position is responsible for providing discharge planning services to patients, families and significant others including, as appropriate, completion of biopsychosocial assessments, formulation of treatment plans and treatment interventions, implementation of treatment plans and discharge planning in order to support and/or enhance biopsychosocial functioning. This role will receive referrals for individuals from at-risk populations from interdisciplinary team members (including physicians, Case Managers, staff nurses and other members of the care team). Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient served. Must demonstrate knowledge of the principles of growth and development as it relates to the different life cycles. Specific age groups that are served by this position are circled. This position requires ability to act quickly and work in high stress situations.

Requirements

  • Master's Degree in Social Work (Required)
  • LSW - Licensed Social Worker - Social Work Certification and Licensure Board
  • 1-2 years' experience as an LSW, preferably in a patient-centric setting
  • Knowledge of medical terminology and computer skills

Responsibilities

  • Conducts patient/family/significant other interviews, chart reviews, and professional collaboration to obtain and interpret information pertaining to patient/client biopsychosocial functioning.
  • Develops care plan, including discharge plan, incorporating medical plan of care.
  • Participates in identification of cases of abuse, neglect or exploitation and refers such cases to the legally mandated authorities when applicable.
  • Provides crisis intervention, information and referral and linkage to community resources as needed.
  • Develops a plan of intervention based upon assessment to resolve identified problems and/or to support and enhance biopsychosocial functioning.
  • Employs clinical intervention skills including treatment planning, continuum of care planning, supportive counseling, crisis intervention, specialized problem oriented planning and intervention, and educational counseling.
  • Works collaboratively with interdisciplinary staff and external organizations to achieve timely, cost effective management of patient care.
  • Monitors for quality and type of services delivered to patients, ensuring management within established parameters.
  • Functions as a liaison to the payer to manage the post-discharge financial resources and ensure expected treatment process, progress and discharge plan.
  • Thoroughly documents assessments and interventions in patient's medical record and information systems in accordance with department standards.
  • Maintains awareness of current hospital, community services and appropriate care options that can assist patient/clinical biopsychosocial functioning.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service