Discharge Planner

• Shift Schedule (Hours are subject to change based on operational needs):
  Monday to Sunday - Various rotating 8 and 12 hours shifts
• Employment Status:
  Temporary Full-time
• Length of temporary contract:
  Approx. 6 months
• Site
  
  Location:
  
  Multi-Site (Oakville, Milton, Georgetown)

Halton Healthcare’s vision of Exemplary patient experiences, always, goes beyond just the patient experience; it has shaped our entire culture and remains at the core of every interaction in our organization, from our patients & families to our staff, physicians and volunteers. We believe in exemplary PEOPLE experiences always!

At Halton Healthcare you will thrive in a healthcare culture and environment that embraces inclusion, diversity and belonging with ‘exemplary patient care, always’ at the heart of everything we do.

We empower our people to be the very best they can be so they can make a difference for our patients and the communities we serve.

Halton Healthcare takes great pride in providing quality, compassionate healthcare services to our rapidly growing communities. As a progressive and vibrant healthcare organization, we are committed to being an innovative center of excellence in community hospital care.

The Social Work and Discharge Planning team consists of staff that provide scope of practice social work and discharge planning for all sites ofHalton

Healthcare.

The successful candidate will work within a fast-paced environment as a collaborative team member of an interdisciplinary team, supporting in-patient units to address high priority discharge barriers. Using critical thinking and working with the interdisciplinary team, the Discharge Planner collaboratively formulates, facilitates and coordinates discharge plans focused on the needs and goals of the patient and their family system.

The Discharge planner understands the Flow and Capacity challenges of a hospital system and works to achieve that the patients are in the right place, at the right time, receiving the right care.

• Coordination, formulation/development, documentation, and implementation of care plan for hospital discharge and safe transition back to community or institutional setting.
• Identification of both short and long term goals to ensure/enhance continuity of care for patient/family.
• Ensure plan is communicated to all stakeholders and that appropriate referrals have been processed and received
• Ensure that patient and/or SDM understands the discharge plan and has the relevant contact information for community partners.
• Ensure efficient use of hospital and community resources
• Early identification of patients requiring complex discharge planning case management through high risk screening criteria, consultation with team members and referrals.
• Planning, review and communication of plans and time lines in partnership with the multidisciplinary team, client/SDM, family, and community agencies/facilities.
• Facilitation of safe patient discharge through: case coordination and development of appropriate discharge plan.
  
  Included but not limited to: patient/family education; referral and completion of application to community services; coordination of legal/financial capacity or SDM issues including potential PGT involvement.
• Advocate to identify gaps in services, need for individualized program consideration and system level changes required to meet changing needs of patient population.

Halton Healthcare endeavors to hire individuals who are competent in their chosen profession and who exemplify our mission, vision and values of accountability, respect and compassion which guide our individual behaviours and attitudes.

• BScN or BSW or MSW required
• Current registration and membership in good standing with respective…