Assists in meeting the psychosocial needs of the Emergency Department and Clinical Decision Unit by providing emotional support, counseling, crisis intervention and discharge planning services to patients and families. Care will be provided through a therapeutic relationship with the patient and family, a spirit of inquiry is encouraged and supported and evidence-driven protocols will be utilized to assure reliable and consistent care.
Provides Emergency Department (ED) and Clinical Decision Unit (CDU) care coordination and discharge planning to assure that the patient progresses through the continuum of care and has resources in place for community support
Coordinates the integration of social services/care coordination functions into patient care, discharge, and home planning processes with other hospital departments, external service organizations, agencies and healthcare facilities
Provides skilled intervention for the support and/or resolution of patient and family crises, problem solving, and decision making
Improves patient and/or family understanding of and adjustment to the medical diagnosis and the plan of care
Promotes effective and efficient utilization of ED, CDU, and community resources. Assists patients with scheduling follow-up treatment and/or establishing Primary Care Physician
Serves as patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions (clinical and/or non-clinical)
Introduces self to patient and family and explains ED/CDU care coordinator role and process for patient and family to contact care coordinator
Conducts a complete and objective evaluation on patients that present to the ED or CDU to identify patient/family psychosocial, financial or legal concerns that affect patient care coordination
Uses established protocols to assess and promptly documents the patient's health care needs to assure an accurate legal record of patient's care
Individualizes plan of care based on patient needs and utilizes appropriate community resources to optimize patient outcomes
Provides care coordination/communication between community resources and the patient and/or family
Provides short term crisis intervention counseling for patient/family as needed
Communicates with physicians at regular intervals throughout ED or CDU visit and with community partners to develop an effective working relationship. Assists physicians and community advocates to maintain appropriate cost, case, and desired patient outcomes
Collaborates with ED/CDU staff and community resource staff in the development and execution of the plan of care and achievement of goals
Performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery
Maintains good, effective communication with all team members including inpatient care coordinators during hand off of care
Basic UPH Performance Criteria
Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
Demonstrates ability to meet business needs of department with regular, reliable attendance.
Employee maintains current licenses and/or certifications required for the position.
Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
Completes all annual education and competency requirements within the calendar year.
Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.
Bachelor of Social Work or RN licensure in State of Iowa
Valid driver's license when driving any vehicle for work-related reasons.
Excellent communication skills, particularly in face-to-face personal contact with patients and families
Critical thinking and problem solving skills and coping effectively with stressful situations. Must possess time management skills
Knowledge of social services in a health care setting, including crisis intervention, support counseling and discharge planning
Understand the concepts of levels of care, payment systems and insurance requirements
Working knowledge of community information and resources for referrals
Knowledge and skills necessary to provide services/care appropriate to the age and diagnosis of patients served across the continuum of care, in accordance with the hospital/departmental/unit standards.