Social Worker/Discharge Planner

New York
Oct 13, 2016
Nov 10, 2016
Employer Type
Direct Employer
Employment Type
Full Time
Job Board
New York Community Hospital is looking for a full-time temporary Social Work Discharge Planner to work from Tuesday to Saturday from 11:00 a.m. to 7:00 p.m. under the supervision of the Lead Social Worker and VP Ancillary Services/Case Management. The Social Work/Discharge Planner is responsible for evaluating/assessing all cases assigned. The Social Work/Discharge Planner will initiate a bio-psycho-Social evaluation to assess need for discharge/continuum of care planning for patient/families and provide all modalities of psycho-social service, including crisis intervention, situational counseling as needed.

The Social Work/Discharge Planner is a member of the interdisciplinary team and is responsible for the coordination and facilitation of arrangements for post hospital services


• Evaluating/assessment of assigned patients to determine discharge planning/continuum of care needs in consultation with the interdisciplinary Team.

• Documentation of initial assessment within 48 hours of admission/referral.

• Participate in interdisciplinary rounds. Assumes responsibility for signatures on
o attendance sheet and completion of patient care rounds stickers.

• Provide information on community resources and entitlements; make appropriate referrals to meet patients' needs when indicated.

• Discuss Discharge Planning options with patient/families/interdisciplinary staff.

• Participate in Hospital-wide Quality Improvement Programs, mandated lectures, Patient Care Improvement Teams.

• Evaluate all cases of suspected domestic violence, child/neglect/elder abuse and take appropriate action.

• Coordinate transportation for patients returning home or being transferred to RHCF's or Acute Rehab. Complete Medical Necessity Forms for ambulance.

• Obtain authorization for transportation, CHHA Services, DME, Rehab, etc. from Managed Care Insurances.

• Records activity on patient's medical record following Social Work Policy/Procedures.

• Complete all necessary forms i.e. Rehab Forms, Hospice and etc. to expedite services/discharge and coordinate dissemination of medical information to appropriate continuum of care providers.

• Address issues involving clinical dependencies (Alcohol/drug and make appropriate referrals).

• Maintain caseload statistics.

• Assertively plans alternative placement options

• Address special needs of our diverse population; hearing impaired or physically challenged.

• Knowledge of age specific competencies.

• Address spiritual and cultural implications on plan of care.

Average caseload is defined as, 15 to 25 patients at any given time. This may decrease or increase due to patient volume. Social Work floor assignments can be changed based on evaluation of Lead Social Work or VP Ancillary Services/Case Management.

The above statement reflect the general duties considered as necessary to describe the principal functions of the job as identified and will not be considered a complete detailed description of all the work requirements inherent in the position.

Walks to and from hospital sites; other departments of the Hospital to meet with patients/families; Attending Physicians and other hospital staff Sits, bends, files etc.

Exercises independent judgment in specialized area(s) of activity that cannot be standardized. Must have excellent organizational skills, be detail oriented and able to prioritize. Must demonstrate excellent communication skills with the ability to confer with hospital professionals and people with diverse backgrounds and education. Must have customer relations skills and the ability to be assertive in advocating for patient and patients services.

Maintain a deep appreciation/respect for people/patients' rights and the preservation of health/wellness. Maintains a sympathetic proactive approach to illness and believes in empowering people to participate in their own health care.

Bachelor's Degree in Social Work or related field. MSW Degree, not mandatory.

Expertise in planning, evaluation and interpreting bio-psycho-social needs of patients and knowledge of Community Resources.

One year previous health care experience preferably in an acute care hospital setting.

Mandarin preferred