Founded as Providence Hospitals in 1938 by the Sistersof Charity of St. Augustine, Providence's two free standing full-servicehospitals and numerous satellite practices maintain a true devotion to advancedclinical expertise and unmatched compassion. On February 2, 2016, Providencebecame part of the LifePoint Health network, and shortly thereafter, changedits name to Providence Health to better represent the full complement of itsservices. Driven by quality, compassion, and Christ,Providence treats the whole person- body, mind, and spirit.
Providence Health is currently lookingfor full-time Social Worker/Discharge Planner to join our Case Management team.The ideal candidate will have previous discharge planning experience within anacute care or home health setting.
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- Assesseswithin 24 hours, patients referred by physician, nurse, case manager (s) orpatient's identified as high risk as defined by department policy. Assesses anddocuments in medical records psychological, emotional, psychosocial, andfinancial data to determine the patient's post-hospital needs.
- Reassessesdischarge plan and updates documentation with patient progress in medicalrecord until final disposition
- Facilitateand transfer as required by case manager(s) to include but not to be limited tothe following healthcare providers: Acute Care, Long Term Acute Care,Acute/Sub-Acute Rehabilitation, Mental Health, and External Care Facility.(ECF) Execute discharge planning for patients requiring complex dischargehealthcare needs, and/or significant psycho/social needs.
- Collaborateswith physician and members of the interdisciplinary team to obtain inputregarding discharge plan.
- Formulatesa plan the encourages continuity and coordination of health care upon dischargefrom the hospital.
- Documentsfinal disposition and destination at time of discharge and communicatesinformation to case manager, MD and designated family members.
- Counselswith patient/family to ensure acceptance, appropriateness and continuity forthe plan of care
- Isadept at crisis intervention involving patients and families experiencingpsychosocial problems
- Identifiesand remains current on eligibility requirements, regulatory statures,post-acute providers, and availability of community resource in regards toattainable patient outcomes.
- Maintainsgood rapport and working relationship with internal and external resources.
- Performsfollow-up with discharged patients on an as need basis to determineeffectiveness of the discharge plan and to address identified problems relatedto service delivery.