St. Thomas More Hospital, a 25- acute care/critical access facilty, is the cornerstone of health care services for Fremont County and surrounding southern Colorado communtites. St. Thomas More offers 24-hour emergency and trauma services, inpatient acute care, intensive care unit, The Birth Center, diagnostic imaging, surgical services, rehabilitation services, sleep disorder center and more. St. Thomas More was rated five stars by Healthgrades® for Total Knee Replacement (2012-2017), Hip Fracture Treatment (2017), and Treatment of Sepsis (2017). Our physicians specialize in emergency medicine, family medicine, internal medicine, obstetrics/gynecology services, general surgery, orthopedic surgery, and pediatric health services. Associates of St. Thomas More enjoy the camaraderie of a close-knit community hospital, the relaxed feel of small town life and an affordable cost of living in a town rich in culture and historic architecture. Located 50 miles from Colorado Springs at the foot hills of the Rocky Mountains and the entrance to the Royal Gorge, locals and visitors alike enjoy this area for some of the state's best hiking, widllife and river sports like rafting and fishing. Learn more about our hospital and life in Southern Colorado by visitinghttp://www.stmhospital.org/.
Hospital: PROGRESSIVE CARE CENTER - Progressive Care
Schedule: Full Time
Assesses the discharge and the social service needs of the patient. Provides information and appropriate resources for those at risk for financial/emotional/physical abuse/exploitation. Makes referrals to appropriate social service agencies and arranges for placement as directed. Consults with additional team members as needed for clinically complex patients or difficult family dynamics.
Minimum Education Requirements
Bachelor's Degree in Social Work
Minimum Experience Requirements
One year social work in a clinical setting under supervision of a licensed social worker
Communication skills; empathy/supportive listening skills; assessment skills; problem identification skills; conflict resolution skills; professional ethics; ability to organize and prioritize work; knowledge of community resources; effectively balance available resources.
Position Duties (Essential Functions, Include % of time)
Discharge Planning & Advocacy
Demonstrate special sensitivity toward different age groups, ethnic, cultural and disabling human diversity and human development.
Uses supportive crisis intervention including illness, grief loss and decision making process.
Conforms to standards of patient and family confidentiality according to hospital and NASW standards.
Identify medical, patient, family, and psychosocial issues that may effect discharge.
Identifying and respecting patient and family needs.
Implement plan and communicates possible options for discharge with regard to financial need, insurance benefits and contracted providers.
Make appropriate outside agency referrals.
Follows through with all aspects of coordination including discharge planning for the transitions of care.
Assesses and coordinates resources needs for specific patient populations.
Demonstrates & understands the needs of the following age specific categories; neonatal, pediatric, adolescent, geriatric and implements a discharge plan tailored to the age specific needs of the patient.
Confirms plan of care goals and anticipated plan of care through discussions with interdisciplinary team/review of documentation.
Communicates plan of care goals or best practices to interdisciplinary team including the physician.
Uses ALLSCRIPTS to facilitate electronic referrals for discharge planning.
Consults and communicates, as appropriate, with designated Case Manager leader regarding difficult practice issues.
Adheres to state and federal regulations pertaining to discharge.
Implements discharge plan in accordance with physician direction and patient/caregiver agreement.
Assesses patient/family learning style and appropriately teaches and documents understanding.
Collaborates with interdisciplinary team to develop and implement holistic, individualized plan of care.
Works in collaboration with Case Managers, Home Service Coordinators and Utilization Reviewers to ensure seamless and timely delivery of services.
Maintains updated referral resources.
Monitoring Plan of Care
Assess, coordinates and proactively evaluates discharge readiness with CM and use of resources and discusses variances on an as needed basis with treatment team.
Participates in Family Conferences and Interdisciplinary Team Meetings in coordination with Case Manager.
Reviews variance in plan of care concerning discharge planning with CM and/or designated CM leader as needed.
Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.
Find your ideal career at Centura Health! With 16 hospitals, physician clinics, hospice services, home care and senior living communities, Centura Health's vast network of care spans Colorado and Western Kansas so you can experience a balanced lifestyle and enjoy a fulfilling career anywhere you want to work, live and play in Colorado. From the fast pace of a Denver-area Level 1 Trauma Center to a smaller rural or mountain hospital – we proudly offer a more diverse range of work settings and locations than any other health care employer in the state. Centura is an equal opportunity employer.