Patient Care Services Danbury, Connecticut

Mon-Fri 8:30am-5pm / Weekend Rotation WORK. This is a rare opportunity to joint a growing Danbury Hospital here at Northwell. Qualified candidates will be LMSW, hold a Master's level degree, have at least 3 years of relevant experience such as counseling and discharge planning experience in an acute care hospital or equivalent, and demonstrated discharge planning and implementation skills. This is a great way to grow your career -- come talk to us about careers well cared for.

At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and supported. Together, we are a team of 15,000+ strong hearts and open minds. If you share our values of connected, personal, agile and imaginative, we invite you to discover what’s possible for you and your career.

Danbury Hospital, a 456-bed acute care hospital, has been providing award-winning, personalized patient care to the people of Western Connecticut for 140 years. Our specialty areas of excellence include a Level III NICU, a certified Thrombectomy-Capable Stroke Center, and compassionate psychiatric care, including a partial-hospitalization program.

Our accolades include the following

The Leapfrog Group - Grade A for quality and patient safety

U.S. News & World Report - High performance in heart failure treatment

Healthgrades - One of America’s 50 Best Hospitals

Surgical Review Corporation (SRC) - Robotic Center of Excellence

Joint Commission - Gold seal of approval in spine surgery

At Danbury Hospital, we take great pride in our team members and their passion for providing the best care possible—always with heart. For many of our team members, that care extends beyond the walls of our hospital. We volunteer at local non-profits and participate in community initiatives and events. Our dedication to the health and well-being of our entire community makes this a truly special place to work.

Summary

The Care Coordination Social Worker (LMSW) is responsible for providing counseling, crisis intervention and complex discharge planning services to assigned inpatients and patients in designated outpatient areas. Participates in discharge plan design with the Clinical Care Coordinator on the units or in the ED. Seeks conservatorships when needed and is knowledgeable about all available community resources.

Responsibilities

1. Completes assessments as needed and collaborates with the Clinical Care Coordinator to identify needs and design an appropriate discharge plan. Manages an assigned group of patients, including those with complex discharge plans. Implements the plans and with the Care Coordination Assistants ensures that all services and equipment and/or transportation are confirmed for day of discharge. Notifies appropriate members of the healthcare team of any delay or late day discharges.
2. Serves as an assigned or on call resource to the POE Clinical Care Coordinator to identify and implement discharge options in the ED. Provides counseling to patients/families in crisis, offer substance abuse counseling and referrals, financial need referrals and grief counseling. Provide staff support at times of traumatic loss. Keeps Clinical Care Coordinator informed appropriately. Provides education to ED.
3. Maternal/Child Health: Provides grief counseling for fetal demise, sudden death as well as providing referrals for identified needs. Participates in MDR�s in NICU.
4. Assesses assigned patients for abuse/neglect, domestic violence, and reports to appropriate agencies, Clinical Care Coordinators and other internal departments per protocol. Initiates and coordinates applications for conservatorships, works with appropriate legal counsel and courts as needed.
5. Lead patient and family conferences as needed. Provide Advanced Directive resources as needed as well as the Patient Right to Choose information for selection of post-acute hospital care.
6. If patient has been readmitted within 30 days of discharge, complete the readmission and CARL tool.
7. Ensure that Clinical Care Coordinator is informed of any changes to discharge plan or barriers to a safe and timely discharge.
8. Fulfills all compliance responsibilities related to the position.
9. Performs other duties as assigned.

Education Skills Experience

MASTER'S LVL DGRE

Other Information

Required: Requires a minimum formal education of Master's Degree in Social Work and a minimum of three years counseling and discharge planning experience in an acute care hospital or equivalent, and demonstrated discharge planning and implementation skills. Analyze financial and social situations, identifying problems and alternative courses of action. Ability to be flexible, resourceful and creative in problem solving. Requires a high degree of prioritization skills. Ability to act independently and offer suggestions and new ideas for improving performance and operations. Keeps supervisor, peers, physicians, interdisciplinary team members, patients and families informed about progress, problems and developments. Proofread and check documents for errors as well as the ability to use a keyboard to enter, retrieve, and transform data. Effectively communicate with physicians, patients, families and other members of the interdisciplinary team.

Minimum Experience: three years

Desired: Case Management Certification preferred.

Working Conditions

• Manual: Some manual skills/motor coord & finger dexterity
• Occupational: Little or no potential for occupational risk
• Physical Effort: Medium to Heavy effort. May exert up to 35 lbs. force
• Physical Environment: Generally pleasant working conditions
• Credentials:LMSW

Company: Danbury Hospital

Org Unit: 152

Department: Care Coordination-DH

Exempt: Yes

Salary Range: $36.53 - $67.90 Hourly

With strong hearts and open minds, we’re pushing past boundaries and challenging the expected, all in the name of possibility. We are neighbors caring for neighbors, working together as partners in health to improve the lives of the people we serve. If you share our passion for the health of our communities, advance your career with Nuvance Health!

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