Social Worker

Senior Care Excellence

Pearland, TX, USA

Full time

Aug 11

This job is no longer accepting applications.

The Discharge Planner / Social Worker is responsible for providing social service/discharge planning functions for the Facility.

ESSENTIAL DUTIES

  • Manages all denials and appeals in a timely manner by scheduling peer reviews with physicians and ensuring timely completion of all paperwork.
  • Communicates daily with Clinical Services Department staff regarding admissions and discharges ..
  • Is knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage.
  • Performing psychosocial assessments on all patients to determine social service and discharge planning needs; always documents assessments in a timely manner.
  • Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
  • Secures discharge/aftercare appointments for all patients that meet all local, state, federal and accrediting organization standards and regulations.
  • Completes discharge/aftercare plans in a timely manner.
  • Ability to communicate with physician regarding social service/discharge planning needs of the patient. Assists the physician to facilitate post-hospital care.
  • Maintains current knowledge of resources available within the community, maintain supply of resource materials to be distributed to patients when needed. Can obtain other resources as needed.
  • Communicates with family members and caretakers regarding the needs of the patient and anticipated plans.
  • Treats patients and families with respect and dignity..
  • Is knowledgeable, through collaboration with the treatment team, of patient’s financial status, diagnosis and discharge needs.
  • Collaborates with the Business Office and financial counselors, regarding patient’s insurance eligibility.
  • Accurately completes the Appeal and Denial process in a timely manner while working closely with the Hospital physicians as appropriate.


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