SOCIAL SERVICE DISCHARGE PLANNER
: Job Details :

JOB DUTIES Serves as a member of a multidisciplinary team to assist in discharge planning needs identification and making referrals to community agencies. Provides leadership for other team members. Acts as liaison between professional staff, patients, their family, and outside agencies. Effectively collaborates with all members of the health care team, including outside agencies, to develop and implement a multidisciplinary plan that delivers patient-centered care in a manner consistent with safe, efficient, and cost effective resource utilization. Screens and assesses patients to identify barriers or unmet needs as well as the need for ongoing service coordination. Prioritizes caseload based on acuity level and identified patient needs. Formulates plan based on discharge planning assessment, diagnosis, age and outcome identification, taking physical, psychological, and emotional needs into consideration. Evaluates and modifies plan of care based on patient responses and attainment of...Planner, Healthcare, Business Services, Patient, Health, Planning