Social Worker - Discharge Planner

UNC Health; Kinston (NC); On-site; USD 50,000 - 60,000; Full time

Job summary

A leading healthcare organization in North Carolina seeks a Social Worker/Discharge Planner to oversee clinical case management for patients. This role involves conducting psychosocial assessments and implementing discharge plans in collaboration with healthcare teams. The ideal candidate holds a Bachelor's degree in Social Work and is prepared to address various psychosocial issues, ensuring effective patient care and support. Full-time, onsite position with a commitment to community well-being.

Qualifications

• Required Bachelor’s degree in Social Work.
• No previous experience required.

Responsibilities

• Complete psychosocial screenings and interventions.
• Collaborate with the care team for discharge plans.
• Provide crisis intervention and emotional support.
• Initiate end of life discussions and assist with Advance Directives.

Skills

Psychosocial assessments

Crisis intervention

Communication skills

Resource management

Education

Bachelors of Social Work (BSW)

Job description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary

The Social Worker/Discharge Planner plans, organizes and directs the clinical case management functions of assigned patient population. This includes completing clinical and psychosocial assessments and facilitating timely, effective and safe discharges. Collaborates with the multidisciplinary care team to identify patients at risk for readmissions and implements plans of care to reduce risk.

Responsibilities

• Completes psychosocial screenings, assessments, and appropriate interventions in collaboration with patients/families, physicians, and other healthcare team members to meet care plan needs.
• Collaborates with Case Manager to formulate and implement discharge plans for patients with identified discharge needs.
• Accesses internal and external resources to meet patients’ and families’ discharge needs.
• Maintains working knowledge of internal and external resources as well as financial, state, and regulatory agency policies and requirements.
• Actively promotes, coordinates, and facilitates communication between patients and/or families and members of the healthcare team, and/or members of the legal, educational, and religious communities as needed.
• Addresses complex psychosocial issues or behaviors which create or contribute to non-compliance, over-utilization or resources, and/or readmissions.
• Effectively identifies and resolves issues associated with competency, guardianship, and adoption processes. Serves as an advocate for patients’ physical and emotional well-being.
• Identifies possible or actual patient/family crises, providing crisis intervention and emotional support, and creating and facilitating effective plans for resolution.
• Identifies real/potential ethical issues, educates healthcare team members, and participates in resolution in collaboration with other healthcare team members
• Proactively initiates end of life discussions with patients, families and/or physicians when appropriate. Assists patients with completion of Advance Directives and Out of Facility Do Not Resuscitate Orders as needed
• Adheres to Patient Bill of Rights and National Association of Social Workers’ Code of Ethics.
• Supports secondary level of care placement issues as needed by department
• Assist patients in accessing indigent drug programs
• Other duties as assigned

Other Information

Education Requirements

Bachelors of Social Work (BSW) required.

Professional Experience Requirements

No Previous Experience Required.

Job Details

Legal Employer: Lenoir Health

Entity: UNC Lenoir Health Care

Organization Unit: Care Management

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: LENOIR MEM

Exempt From Overtime: Exempt: No

Equal Opportunity Statement

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.