Social Worker
Advocate Health
Major Responsibilities: Discharge planning for hospital inpatients
- Assess patients for discharge planning needs.
- Complete initial evaluation and place in medical record according to department policy.
- Collaborate with Physicians and other hospital disciplines to proactively develop plans for continued care after discharge.
- Collaborate and coordinate with Physicians, HMO, PPO, Case Managers, Physical Therapy, Nursing and other personnel regarding discharge needs.
- Develop and update the discharge plan and document the plan in the medical record according to departmental policy.
- Act as community liaison to arrange resources and enhance safe and timely discharges.
- Organize and attend patient care conferences to further identify each patient’s potential discharge needs.
- Establish and maintain positive working relationships with all referral sources.
- Utilize crisis intervention techniques when indicated.
- Evaluate patient/family support systems, financial support, lifestyles for patients and/or families.
- Provide adjustment counseling with emphasis on education/support.
- Provide information regarding community resources for ongoing counseling services.
- Provide age specific appropriate assessment and counseling for patients and family support systems.
- Documentation of assessment and/or plan entered in the medical record adhereing to hospital policy.
- Documentation reflects accurate psychosocial assessment, case progress, and plan of action
- Continuing education is a professional responsibility
- Continuing education units (CEU’s) required for licensure will be completed and documented within NASW timeframes.
- Conducts inservices on assigned units as indicated and appropriate
- Conducts support groups as assigned
- Provides patient, family, significant other education as needs are identified.
- Attends patient care conferences and multi-disciplinary team conferences.
- Keeps staff informed of Social Work progress on open cases and notifies appropriate personnel of updates and changes.
- Collaborates with members of the health care team as indicated
- Evaluates the patient/family’s psychosocial needs in relation to the medical situation.
- Continuously collaborates with the assigned case manager.
- Prioritizes referrals.
- Offers innovative ideas to improve the efficiency and effectiveness of the department.
- Collects data as requested by department head.
Vacancy posted 3 days ago
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