Resource Specialist

Vanderbilt University Medical Center•Nashville, TN

About The Position

Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. The Social Worker will evaluate the psychosocial needs of patients and family support systems and will coordinate appropriate discharge plans for identified patient populations. The Social Worker acts as a liaison between the facility and resources external to the organization. He/she will facilitate implementing timely discharge plans and facilitate follow-up to anticipated post-acute interventions identified in the plan of care. The Social Worker will provide crisis intervention and support. The Social Worker will assist the Resource Manager in facilitating patient movement across the continuum of care and will identify and track barriers to patient throughput.

Requirements

Bachelor's
1 year Relevant Work Experience

Responsibilities

Performs a comprehensive assessment of psychosocial needs of assigned patients
Assesses patients discharge needs and facilitates the provision of services necessary to meet identified needs
Evaluates suspected abuse and neglect referrals and makes official reports
Develops an individual plan of care for recurring patients to include education related to accessing healthcare services at the appropriate level of care
Provides education to the under-resources patient/family of potential and available resources
In collaboration with the interdisciplinary team, develops, implements, evaluates, revises as needed, a discharge plan to include identifies psychosocial an discharge needs
Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
Participates with the interdisciplinary team to ensure psychosocial and discharge needs are addressed
Acts as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies
Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
Makes appropriate referrals, after collaboration with the Case Manager, to third party payer disease and case management programs for recurring patients and patients with chronic disease states
Facilitates patient throughput with an ongoing focus on quality outcomes and an efficient transition between levels of care
Tracks and trends barriers to care, makes recommendations and develops action plans to improve processes and systems
Provides psychosocial support to patients and families through crises intervention
Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered
Acts as an advocate for identified needs and makes appropriate referrals
Acts as a liaison between the facility and community resources to enhance community outreach coordination
Tracks and trends variances barriers related to access to care
Adheres to established policy and procedure and standard of care