What are the responsibilities and job description for the Discharge Planner/ Social Work Case Manager position at Philip Health Services?
Discharge Planner / Social Work Case ManagerReports To : Acute Care DONJob Overview : This position is a healthcare professional who assists patients with transitioning from a hospital setting to a home or other care setting and assists with the coordination of resources to support pre- and post- hospitalization care. The Discharge Planner / Social Work Case Manager identifies and arranges appropriate follow-up care and services, while providing patient / family education, counseling, and support. The purpose of this position is to coordinate patient care service during the transition from an inpatient facility to an outpatient setting. They collaborate with patients, family, physicians, and community service providers to develop and implement a plan that best meets the patients' needs. Discharge planners assess patient eligibility and resources, develop an individualized plan of care, ensure continuity or care and provide counseling and education to patients and family members. They also assist in obtaining necessary referrals, authorizations, and financial assistance for services and care. The Discharge Planner / Social Work Case Manager is responsible for developing and implementing plans for the safe and effective transition of patients from inpatient to outpatient or community settings. They will access the patients' physical, emotional, and social needs and create an individualized discharge plan. This will include coordinating with healthcare team members, social workers and other community resources to ensure the patient's successful transition. They will also ensure that all the necessary paperwork is completed and that the patient is referred to appropriate resources.Supervisory Responsibilities : NoneJob Definition : Full Time Non -ExemptDuties / Responsibilities : Coordinate Case Management for hospital admissions to skilled swing-bedCoordinate discharge planning process for patients leaving healthcare setting.Develop and implement individualized discharge plans for patients.Identify and arrange for post-discharge services such as home healthcare, long-term care, and community resources.Ensure appropriate follow-up appointments and services are scheduled.Provide education and counseling to patients and families.Communicate regularly with healthcare staff, patients, and families on discharge planning progress.Required Skills / Abilities : Knowledge of community resourcesKnowledge of medical and mental health treatmentAbility to access patient needs.Education and Experience : Bachelor's degree in social work, Psychology, Counseling, Nursing, or a related fieldKnowledge of mental health, psychology, and substance abuse counselingExcellent interpersonal and communication skillsAbility to work independently and as part of a teamAbility to work with a variety of individuals, including those with varying levels of functioningExperience collaborating with individuals in the discharge planning processAbility to work well with diverse groups of peopleStrong organizational skillsAbility to work independentlyAbility to make sound decisionsKnowledge or social services and public benefitsPhysical Requirements : Position may require travelProlong periods or walking, sitting, and typingPosition requires reaching, bending, stooping, and managing objects with hands and / or fingers, talking and / or hearing, and seeing.
