Social Work Discharge Planner - Snuggery

Glens Falls HospitalCity of Glens Falls, NY
1d$29 - $42

About The Position

The Snuggery Discharge Planner (DCP) will intervene with Snuggery service-line patients and families who have complex psychosocial needs, require assistance with social programs and funding sources, and qualify for community assistance from a variety of special funds and agencies. In addition, the Snuggery DCP collaborates with OB/GYN and Pediatric providers to coordinate and facilitate transitions of care for complex patients.

Requirements

  • Social Work degree required (MSW or BSW) from a school accredited by the Council on Social Work Education
  • 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

Nice To Haves

  • Licensed Clinical Social Worker (LCSW) preferred
  • At least 1-2 years of hospital social work experience preferred; or 3 years of comparable clinical experience may be considered

Responsibilities

  • Assesses patient’s and family’s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to pregnancy and ability to cope.
  • Intervenes with patients and families regarding emotional, social, and financial consequences of pregnancy/birth; accesses and mobilizes family/community resources to meet identified needs.
  • Provides intervention in cases involving child abuse/neglect, domestic violence, substance use disorder, institutional abuse. crisis, and sexual assault.
  • Provides bereavement support to patient and families.
  • Meets with patient/family as soon as possible after admission to assess, evaluate, and identify discharge needs. Provides support and information, as needed.
  • Connects with patient/family as soon as possible when consulted prenatally/antepartum in order to facilitate proactive complex discharge planning.
  • 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 maternal & pediatric providers and multidisciplinary team to develop, plan, and facilitate a safe discharge plan while adjusting as maternal and newborn condition changes throughout hospitalization.
  • Collaborates with Risk, Quality, and the interdisciplinary team as need to foster safe outcomes.
  • Communicates with Care Continuum Director/Supervisor regarding the discharge planning when needed.
  • Provides coordination when significant or intensive community resources are necessary to achieve desired treatment outcomes.
  • Educates patient/family and provider 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 neonatal, pediatric, adolescent, and adult patients (parents).
  • 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.
  • Initiate and/or coordinate plan of safe care for families who have substance use disorder.
  • Acknowledges issues of diversity and adjusts practice accordingly.
  • 100% of Annual mandated programs are to be timely.
  • Maintains and submits weekly activity statistics.
  • Identifies their own learning needs and will actively seek opportunities for on-going clinical growth through participation in educational programs, current literature, in-services, meetings, and workshops.
  • Works closely with Director and/or Supervisor on Snuggery departmental coverage needs.
  • Works Monday through Friday, however, will need to be on-call for department coverage on weekends and holidays.
  • Performs similar or related duties as assigned.

Benefits

  • Glens Falls Hospital is committed to providing our people with valuable and competitive benefits offerings, as it is a core part of providing a strong overall employee experience. A summary of these offerings, which are available to active, full-time and part-time employees who work at least 30 hours per week, can be found here.
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