Discharge Planner -M/Q Discharge Planning

Trillium Health Partners • Mississauga, ON

6d • $46 - $60 • Onsite

About The Position

Under the leadership of the Manager, Discharge Planning, the Social Worker/Discharge Planner will work within a fast-paced environment as a collaborative team member of an interdisciplinary team. The primary goal of Discharge Planning services is to support and enable patients and families to make timely transitions through the hospital system. The Social Worker/Discharge Planner does all of this in an effort with the goal of providing an exceptional patient and family experience. The Social Worker/Discharge Planner understands the Flow and Capacity challenges of a hospital system and works to achieve that the patients are in the right place, at the right time, receiving the right care. This role in our float pool will provide coverage to both our critical care and medicine departments. 2-5 years of experience in a critical care setting is required, including specific skills in crisis intervention, end of life care, and experience supporting goals of care discussions. The successful candidate will demonstrate an ability to balance collaborative practice with self-direction. They will excel at managing multiple tasks and setting priorities in a fast-paced environment. In addition to being one of the key points of contact for discharge planning to formulate, facilitate and coordinate discharge plans focused on the needs and goals of the patient and their family system they will also be responsible for:

Requirements

• Masters degree in Social Work preferred
• Current registration and membership with College of Social Workers and Social Service Workers required
• 2-5 years clinical experience in critical care is required, additional acute care experience is an asset;
• Experience in Discharge planning is essential;
• Demonstrated ability to conduct psychosocial assessments and counselling and/or demonstrated ability to assess risk and need for referral to Social Work for psychosocial assessment and intervention;
• Demonstrated excellence in interview skills and ability;
• Current knowledge of community resources and initiative to proactively search for new resources;
• Experience with legislation that governs Public Hospitals (Public Hospitals Act, Substitute Decisions Act, Consent to Treatment Act, etc.);
• Extensive knowledge on how to effectively serve an increasingly aging and diverse population with complex medical, functional, cognitive and psychosocial needs;
• Comprehensive knowledge of the impact of social determinants of health on discharge planning, hospital LOS, Patient Flow and hospital system capacity;
• Expert communication, collaboration, organizational and problem solving skills;
• Ability to work independently as well as with an interdisciplinary team;
• Demonstrated ability to set priorities;
• Skilled working with a broad range of client groups and their significant supports.

Responsibilities

• Employing critical thinking and creative problem solving to facilitate all discharge planning, including complex discharge planning situations;
• Providing in-depth discharged focused assessments, collaboratively creating the discharge plan with the team, the patient and their family and providing support, education and guidance through the implementation of the discharge plan;
• Facilitating a timely transition to the community; identifying safety gaps/challenges and addressing all barriers using most appropriate resources in partnership with internal and external partners;
• Assessing risk and need for psychosocial intervention;
• Providing psychosocial assessments to identify the need for and subsequent provision of clinical social work services and/or referral to Social Work.
• Lead or support conversations related to goals of care, advance care planning, and end-of-life decisions.
• Collaborate with multiple interdisciplinary teams, including participation in ICU and medicine rounds and family meetings.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level