- Texas Health Resources (Arlington, TX)
- …Follows established reporting procedures. 4. Participates in development of individualized discharge plans to meet patient needs and referral source requirements. ... Establishes and supports realistic treatment/ discharge goals with patients, families, and staff. Applies nursing/clinical knowledge skills and problem solving… more
- Houston Methodist (Houston, TX)
- …clinical social work, psychosocial assessments, diagnosis and treatments, and complex discharge planning to patients and their families of a targeted patient ... a hospital-wide, service-line leader for psychosocial related issues, complex discharge planning activities, and population disease management. **PEOPLE ESSENTIAL… more
- Houston Methodist (Houston, TX)
- …I (SW I) position provides comprehensive, compassionate, clinical social work and discharge planning to patients and their families of a targeted patient population ... The SW I position holds joint accountability with Case Manager for discharge planning and continuity of care, assuring that psychosocial issues are addressed… more
- Houston Methodist (Cypress, TX)
- …The CM Certified position holds joint accountability with social workers for discharge planning and continuity of care and assures that admission and continued ... with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician advisor, if needed, and… more
- Houston Methodist (The Woodlands, TX)
- …treatment outcomes. The CM PRN holds joint accountability with social worker for discharge planning and continuity of care and assures that admission and continued ... of diagnostic testing; - completion of treatment plan and discharge plan; - modification of plan of care, as...physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician advisor, if… more
- Houston Methodist (Houston, TX)
- …for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) ... outcomes. The CM position holds joint accountability with the social worker for discharge planning and continuity of care and assures that admission and continued… more
- UTMB Health (League City, TX)
- …care decisions and access needed services within the health care system Complex Discharge Planning + Involves patients in all decisions affecting the discharge ... planning activities for complex patients, in order to ensure a timely discharge and to provide appropriate linkage with post- discharge care providers. +… more
- AdventHealth (Killeen, TX)
- …the psychosocial aspects of illness and its treatment. + Develops discharge plans in collaboration with physicians, nurses, physical therapists, nutritionists, ... administrators, educators, community agencies and others. Develops discharge plans that provide continuity of care based on the individual patients needs within… more
- HCA Healthcare (Tomball, TX)
- …placement on all discharges, primarily with those patients identified with post- discharge behavioral health and patient assistance/resource needs, and arranges and ... facilitates Family Care Conferences to support patient, family, and discharge planning goals. The Social Worker is dedicated to patient and family centered care that… more
- HCA Healthcare (Weatherford, TX)
- …care providers. The BSW creates and facilitates the timely implementation of discharge plans and arranges post-acute interventions identified in the plan of care. ... members of the care team + Identifies and addresses barriers to discharge and recovery, including financial, emotional, psychosocial, medical and spiritual +… more