Discharge Planner

4 weeks ago

Oakville, Canada Halton Healthcare Services Full time

Ref #:924076

Specific Department and Program:Social Work & Patient Flow

Location:Oakville

Posted Date:Aug 29, 2023

**Posting #**:2023-924076

**Non-Union**

**Position**: Discharge Planner

**Department**: Social Work, Discharge Planning and Patient Flow

**Status**: Permanent Part-time (Must provide availability of up to 0.7 FTE)

**Site**: OTMH

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.

The Social Work, Discharge Planning and Patient Flow team consists of staff that provide scope of practice social work and discharge planning for all four sites of Halton Healthcare (including the Burlington Satellite Dialysis Program), and patient flow to the Oakville site only.

**This is what you'll be doing**:

- Coordination, formulation/development, documentation, and implementation of care plan for hospital discharge and safe transition back to community or institutional setting.
- Identification of both short and long term goals to ensure/enhance continuity of care for patient/family.
- Ensure plan is communicated to all stakeholders and that appropriate referrals have been processed and received
- Ensure that patient and/or SDM understands the discharge plan and has the relevant contact information for community partners.
- Ensure efficient use of hospital and community resources
- Early identification of patients requiring complex discharge planning case management through high risk screening criteria, consultation with team members and referrals.
- Planning, review and communication of plans and time lines in partnership with the multidisciplinary team, client/SDM, family, and community agencies/facilities.
- Advocate to identify gaps in services, need for individualized program consideration and system level changes required to meet changing needs of patient population.

**This is what you'll 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.
- BScN or BSW or MSW required
- Current registration and membership in good standing with respective regulated College (OCSWSSW, ONA)
- 2-5 year clinical experience in an acute care hospital setting
- Minimum of three years, including community work and/or gerontology, discharge planning
- 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.)
- Demonstrated extensive knowledge base of resources in the public and private sector, and medical and clinical language and procedures.
- Extensive knowledge of 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
- Satisfactory employment and attendance record

**Posting Date**:August 29, 2023

In accordance with the _Accessibility for Ontarians with Disabilities Act _and the _Ontario Human Rights Code, _Halton Healthcare will provide accommodations throughout the recruitment and selection process. _If you require an accommodation, we will work with you to meet your accommodation needs to ensure your equal participation._
- All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act._
- Halton Healthcare is a smoke free facility in and around all three sites. Smoking is not permitted on hospital properties. We thank everyone who works at or visits our hospitals for respecting this healthy initiative. We ar

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