- Inspire health.
- Serve with compassion.
- Be the difference.
- Job Summary Focuses upon transitions in care for assigned patient populations.
- Provides screening, assessment, planning, problem resolution, resource management, social work services, counseling and crisis management as they relate to the health care and discharge planning needs of the patient/family.
- Manages and collaborates in discharge planning for patients with simple and complex needs and coordinates with agencies providing post hospital care.
- Functions as an interdisciplinary health care team member collaborating with other health care professionals to coordinate in the assessment of patient/family needs and development of a comprehensive plan of care, and to coordinate and facilitate resolution of patient needs.
- Services are provided in accordance with accepted standards of professional practice and the policies and procedures.
- Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.
- Serve with compassion.
- Be the difference Screens patient using high risk indicators but not limited to frequent hospitalization, inadequate support systems, readmissions, homelessness, abuse, neglect, exploitation and domestic violence.
- Assesses for immediate discharge planning needs and develops and coordinates a discharge plan as determined by the patient's medical condition, level of independence, functional capacity, family/social support systems, and financial resources.
- Assesses for long term and/or future patient care needs by identifying probable changes in level of independence or functional capacity in collaboration with patient/family and interdisciplinary care team.
- Provides information and education on community resources to empower patient/family decision making.
- Communicates discharge plan to patient/family and interdisciplinary care team by timely documentation in the medical record, active participation in discharge rounds, and/or verbal dialogue as appropriate.
- Collaborates with patient/family to develop the discharge plan.
- Documentation in the medical record is legible and conforms to hospital department policies and procedures including but not limited to screening, initial discharge plan, weekly status updates and whenever changes in the plan occur.
- Assesses the patient's behavioral health needs in collaboration with physician, psychiatrists, and other members of the mental health team.
- Provides counseling, crisis intervention, and psychosocial assessments to patients/families with appropriate medical staff supervision.
- Collaborates with internal and external resources to develop a short term and long-term plan of care as appropriate.
- Assumes leadership role in facilitating meetings and comprehensive care planning with interdisciplinary team when necessary.
- Provide clinical oversight for graduate level MSW students.
- Collaborates with the department's leadership team in assessing department needs and designing systems to meet department and organizational strategic initiatives.
- Performs other duties as assigned.
- Supervisory/Management Responsibilities This is a non-management job that report to a supervisor, manager, director or executive.
- Minimum Requirements Education - Master's degree in Social Work Experience - One (1) year experience in healthcare setting preferred In Lieu Of NA Required Certifications, Registrations, Licenses LMSW (Licensed Masters Social Worker) or LISW (Licensed Independent Social Worker) Social Worker IIs in the Addiction Medicine Center are required to have a valid driver’s license, an acceptable motor vehicle record as defined by the Acceptable Motor Vehicle Record (MVR) Chart, and proof of auto insurance.
Knowledge, Skills and Abilities
Knowledge of office equipment Computer skills (word processing) Work Shift Day (United States of America) Location 1801 Sunset Dr Richland Facility 2507 Upstate Administrative Research Staff Department 25071000 Upstate Administrative Research Staff-Practice Operations Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health. Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. Our 32,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference.
