Behavioral Health, Community Development, Community Relations, Content Management Systems (CMS), Department of Health and Human Services, Discharge Plans, Geriatrics, Health Plan, Healthcare, Hospital, Needs Assessment, Patient Assessment, Pediatrics, Social Work, Staff Development
- Identify patients and provides clinical social work, and behavioral health services
- Identify patients and conducts discharge planning evaluation and coordination of care
- Assess the needs of patients referred/identified as appropriate to the ages of the patients and to the developmental life cycle stage (Neonates, Pediatrics, Adolescents, Adults, Geriatrics).
- Formulate and implement the psychosocial and/or care coordination/discharge planning care plan for identified patients as appropriate to the ages of the patients and to the developmental life cycle stage in conjunction with the medical and interdisciplinary team and the patient/family.
- Function as an interdisciplinary team member in a specialty area.
- Document social work discharge planning activity in the patient''s chart in accordance with Departmental, Hospital, CMS, QIO, DHHS and JC standards.
- Prepare monthly statistical and other assigned reports.
- Develop and maintain community relations.
- Participate in professional staff development and Hospital/Community activities to maintain skills and enhance professional visibility.
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Saint Peter's Healthcare System Inc