The work involves providing discharge planning services and paraprofessional social work services to patients and their families, including pre and post discharge information, assistance and referrals. The incumbent works directly with patients and their families to assess patient needs and to direct the patient to appropriate support staff and outpatient service agencies. The work involves ensuring that the needs of patients being discharged are properly met. Work is performed under the direct supervision of higher level professional staff. Does related work as required.
TYPICAL WORK ACTIVITIES: Interviews patients, family and friends to gather detailed information covering functional status, fiscal, legal, emotional and relevant personal/family/social strengths and weaknesses; Assesses support network; Assesses the value of additional psychological support and counseling for patient and family and makes appropriate referrals; Assesses overall patient-family stability and makes referrals to appropriate community agencies for follow-up services; Uses sensitive interviewing skills to ensure relationship of trust with patient and family; Provides basic emotional support through understanding patient situation and giving practical guidance and information; Evaluates and refers insurance programs to support discharge plan (e.g. referral for Medicaid application, crime victims, etc.); Works with patient’s family and friends and enlists their help in his/her discharge planning; Arranges specific screening, linking planning meetings with family, social agencies, home care agencies, etc. to link patient and to work out a plan of care; Coordinates or may directly provide transportation for patients to facilities, agencies, nursing homes, etc., to expedite discharge; Works as a member of interdisciplinary team and coordinates discharge activities with the overall team, including equipment ordering, arranging linkage and community follow-up; Assesses overall patient-family stability and makes referral to appropriate community agencies for follow-up services; Participates in Total Quality Improvement activities.
FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Good knowledge of available hospital and outpatient social and community services; good knowledge of hospital discharge planning policies, procedures and techniques; good knowledge of the principles of interviewing, counseling and guidance; ability to communicate effectively both orally and in writing; initiative; dependability; tact; emotional stability; physically capable of performing the essential functions of the position with or without reasonable accommodation.
MINIMUM QUALIFICATIONS: a) Graduation from a regionally accredited or New York State registered college or university with a Bachelor’s degree in Social Work, Psychology, Nursing, Human Services, Counseling or closely related field and one (1) year of experience in health care, counseling, social work or discharge planning; or:
b) Graduation of 60 semester credit hours at a regionally accredited or New York State registered college or university with a major in sociology, nursing, psychology, social work, human services, counseling or closely related field and three (3) years of experience in health care, counseling, social work or discharge planning; or:
c) An equivalent combination of training and experience as defined by the limits of (a) and (b).
NOTE: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full time experience requirement.|
Erie County Medical Center
- 2 years ago - save job