- Atlanta, Georgia, United States
- On-site
- Full-time · Staff
- 3+ years
Provides supportive counseling and coordinates discharge planning for patients and families within an ambulatory care setting.
Responsibilities
- Acknowledges and appropriately prioritizes referrals from interdisciplinary team members, patients, and families, with initial chart documentation entered within eight business hours of receipt of consult.
- Attends and actively participates in Trials and interdisciplinary team meetings to screen for high risk patients, obtain and share information, identify appropriate length of stay per DRG, advance the patient's plan of care, identify and take action to resolve barriers and to coordinate safe and appropriate discharge to the proper level of care within the appropriate time frame.
- Maintains focus on the provision of quality service in a rapid and efficient manner in order to transition patients to the appropriate level of care within the time frame of the target length of stay.
- Updates the clinical team regarding discharge destination, and date and time of anticipated discharge.
- Attends and actively participates in Triad Data Meetings and Team Meetings in order to identify and address system trends and barriers to the delivery of efficient patient care.
Requirements
- Masters in Social Work from an accredited Institution
- Nice to have: ACM
- Nice to have: CCM