Social Services Coordinator

Description

• Assess patient and family psychosocial needs.
• Develop a plan of care in concert with patient, physicians, nurses and other members of the interdepartmental healthcare team.
• Document patient / family status, observations and process in medical record.
• Educates patient, family and other members of health care team regarding benefits, community resources, referrals for counseling and other pertinent information.
• Link patient / family to appropriate community resources including but not limited to information / referral to sources of financial assistance, transportation, support groups and other community services.
• Educates patients and families on and assists in preparation of advanced directives.
• Advocate for the patient and family with physicians, insurance companies, and community resources to ensure continuity of care.
• Provides information and options during discharge planning based on meeting identified goals of the treatment plan.
• Assist patient / family to achieve an effective transition from hospital to post-hospital care.
• Continually monitors the patient care environment and work behaviors to identify unsafe conditions and behaviors.
• Provides teaching-coaching to ensure patient / family are knowledgeable about care.
• Supports and enhances provider relationship with patients and family by providing care services and professional interpersonal interactions.
• Evaluates whether patient qualifies for additional insurance coverage. If so, has a plan for helping patient to obtain this coverage.
• Documents services in the Electronic Health Record upon completion of the intervention.
• Provides top specific in-service to other members of the healthcare team.
• Establish, promote, and maintain positive relations with community agencies / services.
• Supports and abides by the mission, values, and policies of CHCS in all activities.
• On-going compliance with CHCS educational requirements.
• All other duties as required.

Requirements

Computer Skills : Microsoft Suite of Products; Healthcare based charting and record keeping system.