Social Work Discharge Planner - Acute Care

Glens Falls Hospital•City of Glens Falls, NY

2d•$29 - $42

About The Position

The Impact You Can Make Team Impact The Discharge Planner will receive referrals for individuals from at-risk populations from Case Management Director, Supervisor and/or Case Managers. The Discharge Planner intervenes with patients and families who have complex psychosocial needs, require assistance with eligibility determination for social programs and funding sources, and qualify for community assistance from a variety of special funds and agencies. In addition, coordinates and facilitates the development of a discharge plan for patients on designated units. The Glens Falls Hospital Impact Mission Our Mission is to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting. How You Will Fulfill Your Potential

Requirements

Social Work degree required (MSW or BSW) from a school accredited by the Council on Social Work Education
At least 1-2 years of hospital social work experience preferred; or 3 years of comparable clinical experience may be considered
Maintains current licensure and/or certification with appropriate professional affiliation
Ability to function autonomously maintaining a high level of clinical and professional accountability
Demonstrates skill in creative problem solving, facilitation, collaboration, coordination and critical thinking
Embraces change and continuously identifies opportunities for improvement by demonstrating a commitment to creativity and innovation
Committed to promoting excellence in Customer Service; functions as a team player
Computer literacy and data analysis skills are required
Maintains professional image by demonstrating strong verbal and written communication skills
Demonstrates ability in self-starting, self-directing and clear decision-making behaviors

Responsibilities

Assesses patient’s and family’s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs.
Provides intervention in cases involving child abuse/neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.
Provides support to patient and families regarding end-of-life issues. Collaborates with Palliative Care team related to treatment and end-of-life decisions.
Meets with patient and/or family/personal representative as soon as possible on admission to assess, evaluate, and identify discharge needs. Provides support and information, as needed.
Assists Case Managers with discharge planning activities.
Participates in discharge planning activities for complex patients, in order to ensure a timely discharge and to provide appropriate linkage with post-discharge care providers.
Deals with families exhibiting complex family dynamics that impact directly on patient care and discharge.
Collaborates with physician and other members of the health care team to develop, plan, and facilitate a safe and realistic discharge plan, re-evaluating every 3 days or adjusting as patient’s condition changes throughout patient’s hospitalization.
Communicates with Case Management Director/Supervisor and Case Managers regarding the discharge planning status of all patients.
Provides consultation to Case Managers when coordination with significant or intensive community resources is necessary to achieve desired treatment outcomes.
Validates discharge criteria for patient and families and notifies Case Managers of newly-identified resources or change in previously-identified resources.
Educates patient/family and physician regarding post-acute options and addresses issues of choice.
Provides intervention in child abuse/neglect, domestic violence, guardianship (temporary/ permanent), foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault.
Follows the expectations of the department’s social work role and responsibility grid.
Demonstrates the knowledge and skills necessary to provide appropriate care in consideration of the growth development, and social needs of pediatric, adolescent, adult, and geriatric patients.
Relays any barriers or concerns regarding any aspect of their role to the Sr. Director or Supervisor.
Continuously pursue excellence in meeting the needs and expectation of all customers (patients, families, inter-disciplinary team members, payors, screener, liaisons and outside services and agencies.