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The Nursing Home Placement Coordinator provides a centralized resource for all Nursing Home referral and discharge activities. The BSW/BS role is essential for the communication and planning for post discharge care in a Nursing Home setting. Excellent communication with unit interdisciplinary teams and Nursing Home Admissions teams is critical to our hospital throughput.
Job Responsibility:
Provide direct and indirect services to patients who are in need of placement in a post hospitalization after care facility
Coordinate communication with nursing homes regarding patient care needs, financial profile and other components of the patient's application or admission
Provide placement consultation to Social Work staff, community facilities, community or hospital physicians, other health care professionals, and, when indicated, to patients and/or families
Maintain Social Work Division liaison relationships with area nursing facilities and insurers
Receive and review initial or updated information from SMH Social Workers intended for placement purposes, and transmit the information to appropriate community facilities
Negotiate with individual facilities
Collaborate with Hospital interdisciplinary team, patient and family, as needed, to ensure optimum, timely placement of all patients
Problem solve on case specific or systems issues with Social Work Senior Director, leaders and individual Social Workers, or others as indicated
Facilitate the Placement Program’s inpatient throughput
Ensure the Program’s compliance with regulatory requirements & provide education to interdisciplinary team, patients & families
Collaborate with leadership to enhance the Program’s responsiveness to the Hospital’s bed availability needs
Maintain a high level of “customer satisfaction” with the Program among patients/families, staff, and nursing homes
Serve as Placement Specialist for all patient care units within the Hospital
Consultation and planning with unit Social Work staff to determine the optimal placement strategy
Initial case review and analysis of new placement referrals to prepare for transmittal
Transmittal of written referral information to nursing homes by ePartner/email/courier/fax
Provision of information to Hospital Social Work staff regarding nursing home evaluation results and issues of concern
Documentation of patient information for entry into eRecord
Coordination of daily nursing home bed availability
Negotiation with nursing homes to secure beds
Participation in daily census review meetings and activities
Consultation regarding facility selection or placement issues with unit Social Workers, patients and/or families to be discharged home to await placement
Consultation and education with unit social workers regarding complaints received from the nursing facility after admission
Coordinate OPWDD and mental health level II determinations required by NYS (except in Behavioral Health)
NYS screen trained and complete screens for pediatric population requiring NH placement
Oversight of Program operations to determine the level of compliance with Division placement policies
Oversight of Program to ensure effective Program operations
Analysis of regulatory updates to project the impact on patient movement and determine the need for revision of Program policy or procedures
Collaboration with Manager to address areas of Program operations not in compliance with Division placement policies and collaboration with the Manager to develop necessary revisions in Program policy or procedures
Maintenance and analysis of statistical data relating to Patient Placement
Generation and distribution of special reports as requested by leaders
Collaboration with Manager in developing proposals to obtain Hospital-based supports needed by the Placement Program
Assistance to the Manager, as requested, in development of collaboration initiative with other hospitals in the community regarding placement issues
Maintenance of updated information files on all area nursing facilities and appropriate out of area facilities
Document patient complaints regarding NH’s and address with NH’s and SMH leadership
Participation in activities of the Social Work Division including, but not limited to, timely completion of statistical reports/forms, time sheets, daily on-call, Hospital and Division mandatory in-service training, University Health Services reviews
Participation in relevant training and/or educational opportunities designed to enhance knowledge and skills
Knowledge of and compliance with all policies of the Social Work Division and Strong Memorial Hospital
Orientation of new Social Work staff to the Placement Program and workflows
Development of placement resource materials to assist Social Work staff
Preparation and presentation of periodic in-service training sessions on placement issues and SNF’s for Social Work staff
Other duties as assigned
Requirements:
BS or BSW + no experience OR No Bachelor’s degree but does have 4 years of experience
Experience in a health care setting preferred
Excellent communication skills (written and verbal)
Patient focused, advocacy skills and interdisciplinary collaboration preferred
Nice to have:
Experience in a health care setting preferred
Patient focused, advocacy skills and interdisciplinary collaboration preferred