Discharge Planner: Post-Acute Care & Care Coordination

Western Missouri Medical Center; Warrensburg (MO); In loco; USD 55.000 - 75.000; Tempo pieno

Descrizione del lavoro

Western Missouri Medical Center in Warrensburg, MO is seeking a Social Worker to support discharge planning and post-acute placement, coordinating with hospital and community resources to ensure continuity of patient care.

The role collaborates with the Case Management department, assesses patient and family needs, facilitates referrals for post-hospital services, and documents outcomes to support care transitions while maintaining HIPAA-compliant communication and patient advocacy.

Competenze

• High school diploma or equivalent.
• Bachelor's degree in Social Work or similar field required.
• Licensed Clinical Social Worker (LCSW) or LMSW preferred.
• Current AHA or Red Cross BLS required.
• 1-3 years hospital based acute care experience preferred.
• Ability to work independently and follow policies.
• Strong written and verbal skills.
• Effective interpersonal skills.

Mansioni

• Assist with initial discharge planning assessment of patient population, establishing patient and family needs post discharge.
• Assist with post-acute patient placement and discharge needs, including referrals for SNF, transportation, home health services, hospice.
• Facilitate the second issuance of the Important Message for all Medicare patients and document issuance in the patient record.
• Identify patients in need of assistance in acquiring medications for post-acute care and arrange procurement.
• Participate in multidisciplinary team rounds for review of plan of care, discharge planning and utilization management.
• Provide patient/family with information about post hospital care placement options and obtain consents for referrals.
• Maintain expertise regarding community resources and advocate for patient/family throughout care episode.
• Assist with documentation and capturing department metrics as directed by the UM Plan.
• Demonstrate attendance patterns and flexibility to meet workload and productivity standards.
• Participate in department-based Performance Improvement activities.

Conoscenze

Interpersonal skills

Written and verbal communication

Independent work ability

Organizational skills

Attention to detail

Formazione

Bachelor's degree in Social Work or similar field

High school diploma or equivalent

LCSW or LMSW preferred

Descrizione del lavoro

Western Missouri Medical Center in Warrensburg, MO is seeking a Social Worker to support discharge planning and post-acute placement, coordinating with hospital and community resources to ensure continuity of patient care.

The role collaborates with the Case Management department, assesses patient and family needs, facilitates referrals for post-hospital services, and documents outcomes to support care transitions while maintaining HIPAA-compliant communication and patient advocacy.