The position involves providing discharge planning for patients to ensure continuity of care and facilitate discharge to the least restrictive setting. The role requires identifying 'high risk' patients to provide necessary social work services and complex discharge planning. Responsibilities include interviewing patients, families, and community support services to assess various needs, participating in interdisciplinary discharge planning rounds, and engaging patients and families in decision-making processes during hospitalization. The position also involves providing crisis intervention services, educating patients and families about discharge planning, and advocating for community-based services. Documentation in the medical record is essential to enhance multidisciplinary communication and meet regulatory standards. The role requires monitoring discharge planning delays and attending relevant conferences to maintain continuing education units (CEUs) and licensing requirements.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Education Level
Master's degree
Number of Employees
5,001-10,000 employees