The individual in this position performs psychosocial assessments and develops a plan to meet the needs of patients with complex social issue/problems, and arranges post-discharge services for patients as needed.
This individual’s responsibility will include, but not limited to the following activities: a) assist with adoptions, abuse and neglect cases, including making referrals to state and federal agencies b) participate in the weekly Complex Case Review meeting and the daily patient care conferences c) provide resources and make referrals to community agencies for ongoing counseling and or continued care d) maintain an updated list of providers for post-discharge care e) Collaborative communication with post-discharge providers f) Update Case Managers on variance to post-discharge plans g) monitor and provide reports to the DCM and hospital leadership as requested h) maintain knowledge of regulatory requirements and community resources i) and other duties as assigned
SKILLS / KNOWLEDGE / ABILITIES:
Has knowledge and skills sufficient to provide crisis intervention and short term therapies to patients and families dealing with loss, grief, anger, depression, new environments, and changing physical capabilities. Recognizes team approach to discharge plan and utilizes team members input. Assesses needs of patient and communicates those as appropriate to plan of action. Understands impact of illness on the patient and family. Has medical awareness of patient’s illness and potential needs. Networks with others in the community to provide the best care for patients in and out of the hospital.Qualifications:
EDUCATION / TRAINING / EXPERIENCE:
Master of Social Work Degree. Minimum 1 year experience in acute medical setting. excellent verbal, written and computer skills d) excellent organizational and communication skills
e) knowledge of internal policies and State/Federal regulations related to discharge planning and social services.
LICENSES / CERTIFICATIONS:
Valid license in Social Work in the State of California.
Job: Case Management/Home Health
Primary Location: Templeton, California
Hospital Location: Twin Cities Community Hospital
Job Type: PT2N
Shift Type: Rotate
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