About The Position

To provide documentation for discharge planning, psychosocial, treatment plan, UR review, and care coordination for patients. Intake phone calls and assessment patient for appropriate programs.

Requirements

  • Bachelor's Degree in Social Work.
  • AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED

Nice To Haves

  • Hospital experience.
  • Case management experience.

Responsibilities

  • Communication Documents all discharge planning and progress towards goals.
  • Consult with team members in development of discharge plans.
  • Maintains ongoing communication with multidisciplinary team members regarding patient status and follow-up.
  • Attends rounds in major practice areas.
  • Documents consultation, recommendations, interventions and treatment plans.
  • Communicates needs for patient care conferences.
  • Community resource Refers to internal resources of hospital that can assist patients and families.
  • Refers basic community resources.
  • Assist with discharge planning for patient and family.
  • Provides referrals for ongoing assistance to patient/family.
  • Consultation and support Consults and intervenes in crisis situations.
  • Assists staff in de-escalating volatile situation.
  • Participate in critical incident debriefings.
  • Customer service Assist Clinical staff with locating Community Resources.
  • Assist with referrals to patient's family for ongoing assistance after leaving program.
  • Assist with facilitating a timely discharge of patients.
  • Patient advocate Reports all mandatory protective concerns such as Elder Abuse, Child Abuse and Domestic Violence ad required by law.
  • Protects patient privacy by maintaining confidentiality.
  • Keeps current with regulatory and legal requirements regarding patient privacy and confidentiality standards.
  • Identifies bio-ethical dilemmas and initiates appropriate response.
  • Assess discharge plan (may complete psychosocial assessments as appropriate per scope of practice and program).
  • Identifies the key clinical issues such as grief and loss, adjustment to illness, psychiatric concerns with attention paid to the developmental milestones and life transitions that can impact functioning.
  • Patient care Practices appropriate boundary setting with clients.
  • Demonstrates sensitivity to cultural and ethnic diversity.
  • Effective at crisis intervention and problem solving techniques and is a resource to others in these areas.
  • Seeks resources when faced with unusual or new situations.
  • Evaluates patient/family response to interventions.
  • Revises care provided to patients/families.
  • Orient patients, initiate, and support admissions process per policy and or department guidelines.
  • Complete Utilization Review for admitting and ongoing treatment for patients.
  • Document authorizations in electronic health record and per policy or department guideline.
  • Staff Training Adequately orient new employees of rules and responsibilities.
  • Evaluate abilities and efficiency.
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