Social Worker / Discharge Planner - Care Navigation - Full Time - Days

ProMedica; Monroe (OH); On-site; USD 45,000 - 75,000; Full time

Job summary

Join a mission-driven healthcare organization as a Care Navigator, where you will play a vital role in supporting patients and families during their transition from hospital to home. This position involves direct patient interaction, assessing needs, and coordinating services to ensure comprehensive care. You will work closely with medical staff and community agencies to facilitate discharge planning while addressing the emotional and social needs of patients. If you are passionate about making a difference in the lives of others and thrive in a collaborative environment, this role offers the opportunity to contribute significantly to patient care and community health.

Qualifications

• Minimum of two years in Social Services or discharge planning.
• Bachelor's degree required, Master's preferred.

Responsibilities

• Conducts patient interviews to assess needs and coordinate care.
• Collaborates with medical teams for discharge planning.

Skills

Interpersonal Skills

Critical Thinking

Problem-Solving

Crisis Management

Statistical Compilation

Education

Bachelor’s Degree in Social Work or related discipline

Master’s Degree (Preferred)

Job description

Job Title: Care Navigation

Category: Care Navigation

Location: [Insert Location]

Job Description:

Provides direct patient/family intervention for the identification and delivery of services for the patient as he/she functions within the community after discharge. In addition to direct patient care, the staff participates in a variety of hospital and community activities that enhance the process of discharge planning. Provides counseling and services as needed for neonate through geriatric aged patients and families.

ACCOUNTABILITIES:

1. Task Executor Essential Functions:
   1. Interviews patients and family members to obtain information about home environment, family, relationships, health history and patient’s personality and explains patient’s background, psycho-social functioning and needs to medical staff and others in participation with planning of a comprehensive care program for patients.
   2. Evaluates data gathered in terms of the medical plan of treatment, available social service programs, and plans a pertinent program that will provide each patient with maximum benefit, considering age of patient.
   3. Assists patients and families to understand, accept, and follow medical recommendations in terminology they will understand.
   4. Regularly works with difficult and complex cases in coordination with the medical team for the purpose of case management, discharge planning, and emotional and financial adjustment to illness services.
   5. Demonstrates competence, awareness, and sensitivity to the physical, emotional, and psycho-social needs of neonates through geriatric aged patients.
   6. Communicates family issues to other staff members involved in the patients’ care.
   7. Participates in planning conferences, as needed. Coordinates discharge rounds, weekly.
   8. Collaborates with other hospital programs and community agencies with which patients of various ages and families are involved.
   9. Prepares and maintains required documentation on each case.
   10. Maintains established departmental policies, procedures, objectives, and safety standards.
   11. May guide activities of part-time, student, or other social workers in their management of specific cases.
   12. Provides for patient safety in environment and in communication with patients and families.
   13. Performs any other job-related duties as assigned.
2. Process Improver Essential Functions:
   1. Participates in the departmental and institutional goals and objectives relative to quality improvement.
   2. Serves on quality improvement teams as requested.
   3. Works collaboratively with all levels and business units of LHA.
   4. Serves as a role model for consistent demonstration of and advocacy for LHA’s Guiding Principles.
   5. Demonstrates knowledge and respects patient, service provider, and organizational confidentiality procedures and protocols.
   6. Maintains and protects patient’s rights.
   7. Represents the system and its entities in fostering positive relationships with other health agencies, organizations, and community groups.
3. Personal Developer Essential Functions:
   1. Maintains and improves professional and personal learning and development though literature, seminars, workshops, and affiliations.
   2. Seeks and accepts education to learn new skill competencies, and maintain current competencies through educational programs, in-services, and meetings.

Job Requirements:

Education: Minimum of bachelor’s degree in Social Work, RN, or related discipline.

Skills:

• Must have sufficient maturity and balance so as not to be upset by often difficult conditions (i.e., emotionally upsetting patients, issues related to death and dying, and issues of counter transference).
• Interpersonal skills for dealing with patients or families, patient health care professionals, and agencies involved with providing services.
• Physical ability to endure a fast, unpredictable pace, interacting with one person, a group or an agency throughout the hospital, nursing home, physician office campus or in the community.
• Ability to use critical thinking and problem-solving methods.
• Ability to understand people and why they behave as they do.
• Ability to understand the interaction between systems, variability learning, and human behavior.
• Ability to use computer and compile statistics.
• Ability to communicate with medical staff, families, and patients both in person and via phone.
• Handles crisis or emergency situations.

Years of Experience: Minimum of two years in Social Services, discharge planning, or relevant field. (At least one year for relief position.)

License: N/A

Certification: N/A

PREFERRED QUALIFICATIONS:

Education: Master’s Degree.

Skills: N/A

Years of Experience: Experience in hospital acute care setting.

License: N/A

Certification: N/A

WORKING CONDITIONS:

Personal Protective Equipment: Use personal protective equipment such as mask, gloves, or gown.

Physical Demands: Frequent standing and walking. Must be able to read and speak the English language. Must be able to see, hear, and move intermittently, or use prosthetics that will enable you to function adequately to assure that the requirements of this position can be fully met. Possible exposure to infectious contagious diseases. Possible exposure to bloodborne pathogens from blood and/or body fluids.

The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.

ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact [e-mail]

Equal Opportunity Employer/Drug-Free Workplace