Social Worker Discharge Planning
Core
Coordinate discharge planning and social service programs for inpatient and outpatient patients to ensure optimal social and emotional functioning and smooth transitions to lower levels of care.
Role type
Senior IC social worker (discharge planning)
Builds
Comprehensive discharge plans and continuity of care for patients and families
Domain
Healthcare (Mental Health/Psychiatric)
Required skills
Discharge planning, interdisciplinary collaboration, utilization management, insurance pre-certification, patient safety protocols, crisis intervention, community resource coordination, documentation, mental health law compliance
Preferred skills
LCSW licensure, experience with acute care settings, knowledge of growth and development across lifespan
Technologies
Meditech, MIDAS
Responsibilities
Coordinate discharge planning and social service programs; collaborate with medical staff to ensure smooth patient transitions; monitor clinical information to support assessment and treatment; institute practice changes based on utilization review data; act as hospital and community resource person; identify patients at high risk for discharge needs; respond to Code 999 and Code Blue emergencies; provide patient and family education on discharge options and resources; document all interventions and care plans; assist with patient transfers to other facilities; provide referrals based on financial needs.
Seniority
Mid-level, hands-on IC