Responsible for coordinating patient placement, community agency referrals, and psychosocial support to ensure high-quality continuing care. Conducts assessments and interviews to facilitate appropriate discharge planning and patient advocacy.
Location: Fayetteville, North Carolina
Department: Coordination of Care
Work Shift: Days (United States of America)
Responsible for coordinating placement, community agency referral, and social coping aspects for all patients in the assigned areas, inclusive of all age groups served. Serves as a direct provider, referral source, and resource to other staff in an effort to promote the delivery of high quality, fiscally responsible continuing care services. Provides psychosocial support and guidance to meet the needs of the patient. Strives to enable the patient to achieve an optimal level of health in accordance with hospital policies and procedures.
The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:
Conducts face-to-face interviews with patients and family members to develop therapeutic relationships and obtain psychosocial and financial information necessary for the facilitation of appropriate discharge planning
Performs proactive screenings and assessments of patients’ clinical, psychosocial, and discharge planning needs
Provides information to patients and families about community resources and educates them, as needed, about steps needed in selecting and accessing community resources
Counsels patients and families regarding issues related to adjustment to illness, difficulties in accessing community resources, financial difficulties, future long-term care planning, protection issues, advance directives, and other psychosocial problems
Refers patients and family members to in-house and community resources for help with financial programs and other tangible resources
Serves as a patient advocate during the course of the patient’s hospitalization with a goal of promoting a sense of the continuum of care and a climate of concern for individual patient/family welfare
Ensures that all necessary paperwork is completed, sent, and/or is in order prior to discharge or consistent with accepted practice
Ensures appropriate transportation is arranged for patient discharge
Other duties as assigned
The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:
Required Licenses and Certifications
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity
