About The Position

As the Social Worker/Discharge Planning Coordinator, you will provide supportive intervention to patients and caregivers and coordinate and facilitate discharge plans of care for high-risk patients. You will assess psychosocial risk factors and connect patients and caregivers with community resources to provide emotional, social, and financial support. You will advocate for patients during hospitalization, help ensure continuity of care, and address psychosocial concerns such as substance abuse, mental health, and guardianship. The role requires knowledge of regulations and community resources, the ability to function effectively in a critical care environment, and flexibility in a complex, changing healthcare setting. The position is at Flower Hospital in Acute Care Navigation, with 40 weekly hours on the day shift.

Requirements

  • A BSW or higher degree; a limited-license social worker may be considered on an individual basis.
  • Licensed Social Worker (L.S.W.).
  • Knowledge of regulations, requirements, and community resources.
  • Ability to function effectively in a critical care environment.
  • Strong written and verbal communication skills, including the ability to establish priorities, communicate, and respond to inquiries.
  • Interpersonal communication and negotiation skills.
  • Critical-thinking and problem-solving skills.
  • Customer service skills.
  • Ability to work and communicate with people of diverse social, economic, and cultural backgrounds; flexibility, open-mindedness, and adaptability to change.
  • Effective organizational skills.
  • Computer proficiency with Outlook email and electronic medical records.
  • Understanding of pre-acute and post-acute care settings and post-acute community resources.
  • Current working knowledge of local community services, particularly services for patients with limited or no payment resources.

Nice To Haves

  • MSW.
  • Applicable experience in patient advocacy and care management, and knowledge of hospital and community resources.
  • Previous case management or discharge planning experience.
  • Specialty certification in care management, such as CCM, ACM, or similar.

Responsibilities

  • Provide supportive intervention to patients and caregivers.
  • Coordinate and facilitate discharge plans of care for high-risk patients.
  • Assess psychosocial risk factors for patients and caregivers.
  • Connect patients and caregivers with community resources to provide emotional, social, and financial support.
  • Serve as a patient advocate during hospitalization and help ensure continuity of care.
  • Address psychosocial concerns, including substance abuse, mental health, and guardianship.

Benefits

  • Flexible benefits, including compensation and programs to support employees’ family, finances, and personal well-being.
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