Resource Specialist

Organization

Pediatric Social Work

The Social Worker will evaluate the psychosocial needs of patients and family support systems and will coordinate appropriate discharge plans for identified patient populations. The Social Worker acts as a liaison between the facility and resources external to the organization. He/she will facilitate implementing timely discharge plans and facilitate follow-up to anticipated post-acute interventions identified in the plan of care. The Social Worker will provide crisis intervention and support.

The Social Worker will assist the Resource Manager in facilitating patient movement across the continuum of care and will identify and track barriers to patient throughput.

• Performs a comprehensive assessment of psychosocial needs of assigned patients
• Assesses patients discharge needs and facilitates the provision of services necessary to meet identified needs
• Evaluates suspected abuse and neglect referrals and makes official reports
• Develops an individual plan of care for recurring patients to include education related to accessing healthcare services at the appropriate level of care
• Provides education to the under-resources patient/family of potential and available resources
• In collaboration with the interdisciplinary team, develops, implements, evaluates, revises as needed, a discharge plan to include identifies psychosocial an discharge needs
• Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
• Participates with the interdisciplinary team to ensure psychosocial and discharge needs are addressed
• Acts as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies
• Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
• Makes appropriate referrals, after collaboration with the Case Manager, to third party payer disease and case management programs for recurring patients and patients with chronic disease states
• Facilitates patient throughput with an ongoing focus on quality outcomes and an efficient transition between levels of care
• Tracks and trends barriers to care, makes recommendations and develops action plans to improve processes and systems
• Provides psychosocial support to patients and families through crises intervention
• Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered
• Acts as an advocate for identified needs and makes appropriate referrals
• Acts as a liaison between the facility and community resources to enhance community outreach coordination
• Tracks and trends variances barriers related to access to care
• Adheres to established policy and procedure and standard of care

Work Experience:

1 year

Education:

Bachelor's

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.