Coordinates with the RN Case Managers for post-discharge arrangements and advocates for the patient in obtaining and negotiating resources to meet patient needs, as necessary.
Interviews patients/families to complete a thorough and timely psycho-social assessment and to evaluate current support systems available to the patient and family.
Completes assessments, per department standards, based upon information from multiple sources including the patient, family, nursing staff, physician, as well as information discussed in multi-disciplinary rounds. Documented assessments confirm an understanding of the patient’s functional status and psycho-social needs.
Collaborates with the RN Case Manager to address barriers that may impact or delay the patient’s discharge plan.
Prepares for and participates in multi-disciplinary rounds on assigned nursing unit for the purpose of updating the team on the discharge plan/needs and to identify potential social work referrals. Appropriately prioritizes cases according to assessed needs.
What Will You Need:
EDUCATION AND EXPERIENCE REQUIRED:
Bachelorâ™s degree in Social Work
EDUCATION AND EXPERIENCE PREFERRED:
Acute hospital experience
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:
Case Management certification highly desirable - ACM (Accredited Case Manager), CCM (certified Case Manager)
Under the general supervision of the Director and/or Manager, in collaboration with the RN Case Manager, works with the patient/family, physicians, interdisciplinary team and external agencies, the Social Worker-BSW ensures the patientâ™s progress along the continuum in an efficient and costâ“effective manner. Works to ensure the establishment of a home support system or alternative living placement plan which is realistic in relation to the patientâ™s present circumstances and facilitates positive outcomes in collaboration with the healthcare interdisciplinary team and available community resources with a focus on enhancing the capacity of people to address their own needs. Provides support and crisis intervention for patients and significant others in relation to such issues as domestic violence, advanced care planning, adoption, financial resourcing. The Social Worker-BSW, in collaboration with the RN Case Manager, is responsible for identifying and initiating the most efficient discharge plan to expedite the patient transition to the next appropriate level of care and to reduce length of stay. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all..
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.