Completes social service assessment upon admission while immediately focusing on discharge planning and follow-up care. Individual, group and family therapy, education, and plan of care will be ongoing throughout the continuum of care. This position participates in a multidisciplinary palliative care team. Completes and updates medical records pertaining to case management and authorizations.
Drives the psychosocial assessment in identified time frame and immediately begins discharge planning upon admission.
Directs daily individual, group and family therapy according to the unit/program schedule.
Coordinates discharge planning arrangements to skilled nursing, residential and rehabilitation facilities, while completing all required documentation.
Updates relevant patient information within medical record on a daily basis to assist treatment team in coordinating care plan.
Joins with other disciplines, reviews comprehensive patient/ family treatment plan.
Collaborates with physicians and other health care professional regarding patient plan of care and intermediate care goals within proposed time line.
Reviews and evaluates discharge planning on all clients while scheduling follow-up appointments.
Interview patient / family members, obtain a complete initial social history.
Performs all other duties according to entity policies/procedures as assigned.
Masters Social Work (MSW) or other related field.
1 to 3 years of experience.
The 525-bed SSM Health St. Mary's Hospital - St. Louis is a major teaching hospital affiliated with the Saint Louis University Department of Obstetrics and Gynecology. St. Mary's Hospital - St. Louis offers a wide variety of outpatient services, including cardiovascular and open-heart surgery, high-risk obstetrics and comprehensive women's breast health services. The hospital was recognized with the 2008 and 2010 Premier Award for Quality.
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