Licensed Clinical Social Worker (Discharge Planner

Job purpose

We are seeking a professional, detail-oriented, compassionate Licensed Clinical Social Worker (Discharge Planner). To provide counseling services at the Military Medical Center (MOMMC), 99th Medical Treatment Facility (MTF), Nellis Air Force Base, Nevada. Contract for 8-koi: a diverse Florida-based service and consulting company that has been providing outing results for our clients for over 20 years. The contractor shall provide general support for medical operations.

Primary mission is to maintain medical readiness for worldwide contingencies by providing quality, cost-effective health care for Military Medical Center.

• Interviews patients, family members, and reviews existing medical information to assess social and economic needs of patients and to arrange appropriate discharge plans.
• Provides ongoing psycho-social assessment of patients' progress and needs.
• Coordinates community resources to meet patients' social, physical, emotional and medical needs.
• Determines need for advocating or intervention and documents intervention techniques and strategies.
• Identifies problems which may impede discharge plan or patient's progress. Facilitates or coordinates the resolution of problems.
• Assess patients' financial status and eligibility for participation in government assistance programs. Coordinates referrals to appropriate Federal, state or county agencies.
• Participates in reducing patients' lengths of stay by developing appropriate and safe discharge plans using a case management approach.
• Provides an initial and on-going assessment of discharge plans.
• Participates in multi-disciplinary team decision making.
• Acts as liaison between patient and medical staff.
• Provides grief and emotional support as needed to patients and families on an emergency basis.
• Determines other interventions needed and coordinates intervention with outside of the agency.
• Maintains detailed case files and compiles statistics on services provided.
• Contributes to the efficiency and effectiveness of the unit's customers by offering suggestions and directing or participating as an active member of a work team.
• Perform duties with consideration of age, growth/development, culture, emotional, spiritual and educational needs of the patient or other customer. This includes providing a safe environment and communicating effectively as well as integrating age specific requirements when performing procedures and providing care or other services.
• Appropriately identifies and reports suspected adult and/or child abuse cases.
• Utilizes and completes the rotation lists for DME, oxygen, home health, etc. and follows guidance for selection of vendor services (vendor rotation) when applicable.
• Completes and submits transportation logs in a timely manner.
• Passes face sheets/paperwork to co-workers in a timely manner.
• Participates in the coordination of patient care transfers including acute care locally, out of state and out of country or to mental health / substance abuse facilities.
• Assesses eligibility and refers patients to the appropriate agency for assistance or outpatient follow-up.
• Attends and participates in unit specific patient care conferences.
• Contributes to professional environment using appropriate leadership skills.
• Appropriately identifies and refers patients in need of group home or nursing home.
• Provides crisis intervention and counseling to patients.
• Supports hospital-based specialty services (i.e. Endocrinology Services, Infusion Clinic and Renal Clinic.) through participation in assessment, counseling and committee participation specific to the needs of the specialty service.
• Participates in education and/or in-service for the purpose of maintaining and improving competency to perform duties.
• Responsible for the content of staff meetings whether through attendance (if mandatory and accessible) or review of minutes or other documentation.
• Maintains licenses, certifications and/or registrations required by the position and/or organization. Provides required documentation in accordance with policy.
• Identifies social, organizational, behavioral and interpersonal skills which would improve teamwork,…