Discharge Planner -M Discharge Coord

Trillium Health Partners • Mississauga, ON

5d • Onsite

About The Position

Under the leadership of the Manager, Discharge Planning, the 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 Discharge Planner does all of this in an effort with the goal of providing an exceptional patient and family experience. The 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. 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:

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.

Requirements

• Bachelors degree in Social Work, Nursing or a Health Discipline is required.
• Current registration and membership with Regulated College
• 2-5 years clinical experience in an acute care hospital setting
• 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

Nice To Haves

• Masters degree is preferred.

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

What This Job Offers

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