Discharge Planner - Georgetown, Canada - Halton Healthcare Services

Sophia Lee

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Sophia Lee

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Description
Ref #:914935


Specific Department and Program:
Social Work and Patient Flow


Location:
Georgetown


Posted Date:
Feb 17, 2023


Posting #:


Non-Union

Position:
Discharge Planner/Social Worker


Department:
Social Work and Patient Flow


Status:
Permanent Full-Time


Site:
GH - Medical/Surgical Unit


Halton Healthcare's vision of Exemplary patient experiences, always, goes beyond just the patient experience; it has shaped our entire culture and remains at the core of every interaction in our organization, from our patients & families to our staff, physicians and volunteers.

We believe in exemplary PEOPLE experiences always


At Halton Healthcare you will thrive in a healthcare culture and environment that embraces inclusion, diversity and belonging with 'exemplary patient care, always' at the heart of everything we do.


We empower our people to be the very best they can be so they can make a difference for our patients and the communities we serve.

Halton Healthcare takes great pride in providing quality, compassionate healthcare services to our rapidly growing communities.

As a progressive and vibrant healthcare organization, we are committed to being an innovative center of excellence in community hospital care.


This is what you will be doing:
As part of a interdisciplinary team, your primary focus is to support patients and their families as needed. You will act as a resource to the interdisciplinary team through consultation and education as needed. You will provide information and facilitate connections to community resources based on the individual needs of the patient.

  • Conduct comprehensive social work and psychosocial assessments, using a variety of modalities and in accordance with professional standards, clinical policies and practices.
  • Alone or in collaboration with other team members, provide selected therapeutic interventions to patients and families, supportive counseling and education, group interventions, case management, resource coordination, community outreach and advocacy.
  • In collaboration with professional colleagues on the unit, promote high standards of ethical clinical care.
  • Participate in team conferences, educational/interdisciplinary rounds, and educational rounds.
  • Intervene to alleviate high risk or vulnerable situations (elder abuse/neglect, homelessness, Substance abuse, isolated mental health patients, etc.)
  • Engage patient (and family) in problemsolving; enable goalsetting; assist with adjustment related to health issues (engaging, palliation, new diagnosis, etc.)
  • Formulate a plan of action to accomplish identified goals
  • Provide resource counselling though education and information as needed
  • Resolve complex issues with patient/family/SDM/POA through use of conflict resolution meetings, providing mediation and advocacy with both internal and external partners
  • Facilitate process for determination of Capacity for finances (under HCCA and MHA legislation)
  • Attendance at daily rounds to collaborate regarding patient care, information sharing, decision making and enabling patient flow
  • Collaboration and information sharing with community partners within the "circle of care" this includes, but is not limited to community resources such as SDL, retirement homes, respite and convalescent care facilities, Long Term Care homes, Hospice, Public Guardian and Trustee, Adult Day Programs, Children's Aid Society, etc.
  • Provide education to the team if indicated around Capacity and Substitute Decision makers, POA, guardianship, Court appointments, SDM rankings, Public Guardian and Trustee involvement) as it pertains under the HCCA, Mental Health act and or Substitute Decisions Act and ensure capacity of patient is determined prior to seeking Nextofkin/SDM involvement for decisionmaking
  • Advocate within both the healthcare setting and the community for the removal of systemic barriers that negatively influence the delivery of health care and the continuity of care of our services to our patients, their families, the organization and our community.
  • Appropriately escalate issues to Social Work and Patient Flow Manager and Director within expected timelines

This is what you will need to do it:

Halton Healthcare endeavors to hire individuals who are competent in their chosen profession and who exemplify our mission, vision and values of accountability, respect and compassion which guide our individual behaviours and attitudes.

  • BSW or MSW required
  • Current registration and membership in good standing with OCSWSSW
  • Experience providing scope of practice social work to inpatients on an acute inpatient rehabilitation unit
  • Previous child welfare experience preferred.
  • CBT and Brief Solution Focused therapy experience preferred.
  • Strong knowledge of community resources and demonstrated ability to work collaboratively and effectively with community partners.
  • Familiarity with Mental Health Act, Consent to Treatm

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