Discharge Planner -M Discharge Coord

Job Description

Under the leadership of the Manager, Discharge Planning, the Discharge Planner will work within a fast paced environment as a collaborative team member of an interdisciplinary team. The primary goal of Discharge Planning services is to support and enable patients and families to make timely transitions through the hospital system. The Discharge Planner does all of this in an effort with the goal of providing an exceptional patient and family experience. The Discharge Planner understands the Flow and Capacity challenges of a hospital system and works to achieve that the patients are in the right place, at the right time, receiving the right care. Responsibilities

Employing critical thinking and creative problem solving to facilitate all discharge planning, including complex discharge planning situations. Providing in-depth discharged focused assessments, collaboratively creating the discharge plan with the team, the patient and their family and providing support, education and guidance through the implementation of the discharge plan. Facilitating a timely transition to the community; identifying safety gaps/challenges and addressing all barriers using most appropriate resources in partnership with internal and external partners. Assessing risk and need for psychosocial intervention. Providing psychosocial assessments to identify the need for and subsequent provision of clinical social work services and/or referral to Social Work. Qualifications

Bachelors degree in Social Work, Nursing or a Health Discipline is required. Masters degree is preferred. Current registration and membership with Regulated College; 2-5 years clinical experience in an acute care hospital setting; Experience in Discharge planning is essential; Demonstrated ability to conduct psychosocial assessments and counselling and/or demonstrated ability to assess risk and need for referral to Social Work for psychosocial assessment and intervention; Demonstrated excellence in interview skills and ability; Current knowledge of community resources and initiative to proactively search for new resources; Experience with legislation that governs Public Hospitals (Public Hospitals Act, Substitute Decisions Act, Consent to Treatment Act, etc.); Extensive knowledge on how to effectively serve an increasingly aging and diverse population with complex medical, functional, cognitive and psychosocial needs; Comprehensive knowledge of the impact of social determinants of health on discharge planning, hospital LOS, Patient Flow and hospital system capacity; Expert communication, collaboration, organizational and problem solving skills; Ability to work independently as well as with an interdisciplinary team; Demonstrated ability to set priorities; Skilled working with a broad range of client groups and their significant supports. Trillium Health Partners’ (THP) is an equal opportunity employer who values the importance of antiracism work and is committed to integrating antiracism, diversity, equity and inclusion best practices throughout THP operations, policies and culture. Therefore, we ask that even if you do not see yourself fully reflected in every job requirement listed on this posting, we still encourage you to reach out and apply. Research has shown that candidates from underrepresented groups often only apply when they feel 100% qualified. We encourage all applicants who are members of groups that have been marginalized on any grounds enumerated under the Ontario Human Rights Code based on race, gender identity or expression, sex, sexual orientation, disability, political belief, religion, marital or family status, age, and/or status as a First Nations, Métis or Inuk/Inuit person to consider this opportunity. In accordance with the Accessibility for Ontarians with Disabilities Act, 2005 and the Ontario Human Rights Code Trillium Health Partners will provide accommodations throughout the recruitment and selection process to applicants with disabilities. If selected to participate in the recruitment and selection process, please inform Human Resources of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act. Trillium Health Partners is identified under the French Language Services Act. Our organization may use automated tools, including artificial intelligence (AI) or algorithm-assisted systems, to support the initial review of applications. These tools are used only to assist our recruiters and hiring managers; all hiring decisions include meaningful human involvement and final review. We thank all those who apply but only those selected for further consideration will be contacted.

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