Social Worker Discharge Planning
Core
Coordinate discharge planning and social service programs to ensure optimal social and emotional functioning for patients and families across inpatient and outpatient settings.
Role type
Social Worker (Discharge Planning)
Builds
Comprehensive discharge plans and transition services for patients and families
Domain
Healthcare / Mental Health
Required skills
Discharge planning, interdisciplinary collaboration, utilization review, insurance pre-certification, patient safety protocols, community resource coordination, crisis intervention, documentation, care transition management
Preferred skills
Knowledge of growth and development across the lifespan, mental health law expertise, cost-saving measure identification
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 a resource for community services; identify patients at high risk for discharge needs; document all interventions and care plans; respond to emergency codes (999, Blue, Rapid Response); provide patient and family education on discharge options and resources; facilitate transfers to appropriate facilities; assist in de-escalation of behavioral patients; ensure compliance with Illinois Mental Health code and Healthcare laws.
Seniority
Mid-level, hands-on IC