This job has expired.
Employment Type:
Full time
Shift:
Description:
To provide professional discharge planning services through assessments, and coordination of post-hospital care needs to patients and their families. Provides resources and choices to families to effectively link them to the needed level of emotional, medical and spiritual care.
This role will receive referrals for individuals from at-risk populations from interdisciplinary team members (including physicians, Care Managers, staff nurses and other members of the care team). Participates as an active member of multi-disciplinary team.
Position Responsibilities:
Complex Discharge Planning based on assessment of patient and family
needs, preferences and available resources in order to ensure a timely
discharge and to provide appropriate linkage with post-discharge care
providers (i.e. New/Resumptions SNF, LTAC, Rehab, Dialysis, Hospice,
DME and Home Health etc.)
Completion of an assessment/history on all identified patients within
appropriate time frames.
Psychosocial Assessment and Interventions on the basis of preliminary risk
screening, assesses patients and family's psychosocial risk factors through
evaluation of prior functioning levels, appropriateness and adequacy of
support systems, reaction to illness and ability to cope. Supportive counseling
and clinical Social Work intervention for patients and families in acute
emotional distress.
Engages in Performance Improvement and patient safety initiatives.
Requirements:
Master in Social Work/LCSW
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
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