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Current Open Position for Which You Are Applying:

Social Services/Discharge Planning

Job Description

POSITION SUMMARY:      

             Under the generaldirection of the Director of Case Management, the SW/Discharge Planner willbegin initiating a discharge disposition on the day of admission by followingthe criteria listed below, and will follow the patient until the finaldischarge to promote a smooth transition of care.

 

EDUCATION/EXPERIENCE/SKILLS:

             Thisposition requires a licensed SocialWorker at a Bachelor Level, as a minimum. The candidate must have at least 2 yearsof Medical Social Services experience.

 

ESSENTIAL DUTIES/TASKS/RESPONSIBILITIES:

The Social Workerwill serve in the role of Social Worker/Discharge Planner. They will visit andassess the patient within 24 hours of admission and will complete a CaseManagement Set (CMS) to aid in choosing an appropriate Discharge Disposition. .Each new admission will either be assigned to an RN/DP or a SW/DP. Both havethe job description of discharge planning.

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  • The findings willthen be entered under Interventions as a working discharge disposition that canbe accessed by all departments

     

  • They will continueto monitor the patient in following days for appropriate care, utilization ofresources, and the need for transition between levels of care.

     

  •  They will work to develop an appropriate dischargeplan for patients of all ages based upon patient needs, available resources andthe patient/families choices.

 

  • They will respectthe patient’s Privacy and Rights as required by The Joint Commission

                               

  • If it isdetermined that the patient needs continued services post discharge, theDischarge Planner (SW or RN) will provide the patient with informationregarding the choice’s that are available to meet their needs. A choice formwill be given so that the patient can have a personal choice, and once thatform is signed, it will become part of the patient’s permanent medical recordindicating their choice.

     

  •  Based on the severity of the patient’s needswill determine if the Social Worker is assigned to the patient or if the RN DischargePlanner will work on securing a final discharge disposition.

     

  • If the SocialWorker receives a consult for an at-risk patient that is generated by thenursing/and or medical staff they will perform a psychosocial assessmentthrough review of the medical chart, interviews with the patient/ and orfamily, medical staff, and/or physician, and will document findings by way of aSocial Service Consult note in the EMR.

     

  • SW/DP willdocument all work performed, including assessment, interventions, progress ofpatient, and family’s understanding of situation and actions to be taken

  •  SW/DP will collaborate with medical andhospital staff and various departments and coordinate Case Care Conferences ifapplicable

                 

  • SW/DischargePlanners are able to prioritize work level and complete assigned tasks in anaccurate, complete, and timely manner.

     

  • SW/DP is able touse professional judgment and decision making skills when relating to patientsand/or families.

     

  •  SW/DP will demonstrate a sensitive andsupportive attitude.

     

  • SW/DischargePlanners handles crisis situations and counseling to patients regardingadjustment to illness  

     

  • SW/DP Reviewspatients’ progress along clinical pathway, if applicable

     

  • SW/DP Monitorstimeliness of testing and completion of orders, including ancillary consults

     

  • SW/DP Facilitatestransfer of patient to appropriate post-hospital setting, i.e. Skilled Nursing Facilities,Extended Care Facilities, Rehabilitation Centers, or Home Health Care as wellas DME if applicable.

     

  • SW/DP Maintainsongoing verbal communication with patient and/or family, physician, Nursing andother interdisciplinary teams regarding discharge planning

               

  •  SW/DP demonstrates the ability to work with avariety of patients regardless of racial, ethnic, sociological backgrounds,medical diagnosis, disability or age

     

  • SW/DP seeks supervisoryguidance as necessary

     

  • SW/DP demonstratesthe ability to assess a situation from a variety of perspectives, consider alternatives,and chooses an appropriate course of action.

                 

  • Procures pastoralassistance when requested by the patient and family

 

  • This is a generalexplanation of the job description, but certainly doesn’t cover the full scope.They could be asked by their Supervisor to assist in another manner.

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* I certify that the information in this application is true and complete for all practical purposes. It may be verified by the facility. Should a position be offered and later it is found that the information is significantly untrue, incomplete, or misrepresented, I understand and agree that the facility is relieved of all commitments, financial or otherwise pertinent to employment, and that I am subject to immediate discharge without recourse.

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DISCLOSURE AND ACKNOWLEDGEMENT (IMPORTANT — PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGEMENT)
The Jackson County Health Care Authority may obtain information about you from a consumer reporting agency for employment purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include information about your character, general reputation, personal characteristics, criminal and civil litigation history information, motor vehicle records (“driving records”), sex offender status, education verification, professional license, drug testing, Social Security Verification, employment history, and personal history (only once a conditional offer of employment has been made). You have the right, upon written request made within a reasonable time after receipt of this notice, to request whether a consumer report has been run about you, and the nature and scope of any investigative consumer report, and request a copy of your report.

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I acknowledge receipt of the NOTICE REGARDING BACKGROUND INVESTIGATION and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand both of those documents. In consideration of my application, I authorize Highlands Medical Center by and through to verify all data given by me on my application, related papers or oral interviews. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” at any time after receipt of this authorization and, if I am hired, throughout my employment. To this end, I hereby authorize, without reservation, any employers, agencies, personal references, law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau or insurance company and other persons with whom I am acquainted to answer all questions and release all information including but not limited to my employment record, character, reputation, ability, education, military service, credit history and other applicable reports and/or furnish any and all background information requested by ESS, or another outside organization acting on behalf of the Jackson County Health Care Authority. Furthermore, I release all agencies, bureaus, employers, information service organizations and individuals or companies named above from all liabilities or damages that might result from information provided in good faith. I state that the information provided by me on my application is accurate and I agree that if any information is found to be false at any time, my application may be discarded or my employment terminated. I understand that the information requested below regarding sex and date-of-birth are for the sole purpose of gathering the above information accurately and will not be used to discriminate against me in violation of the law. I agree that a facsimile (“fax”), electronic or photographic copy of the Authorization shall be as valid as the original.


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