Home Health Social Work Liaison

2 weeks ago


White Rock, Canada Fraser Health Full time

Salary range: The salary range for this position is CAD $41.04 - $51.27 / hour Why Fraser Health?:
Fraser Health is responsible for the delivery of hospital and community-based health services from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities.

Our team of 45,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Learn more.

We have an exciting **Relief Full Time** opportunity for a **Home Health Social Work Liaison** to join our team supporting the **White Rock** community. This relief role is available until August 2024 or until return of incumbent. Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care.

Effective October 26, 2021, all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer.

**Curious to learn what it’s like to work here?**

**Connect with us**

Connect with us on our Careers social channels where you’ll learn about exciting opportunities, get career tips from our recruiters, and meet some of your future team members You can also visit us on Indeed and Glassdoor.

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Detailed Overview: Performs client assessments and acts as a liaison between the acute care facility and community care service to facilitate discharge planning from the acute care facility to the appropriate service in the community; assesses the client's care needs by completing various assessments and arranging for single or multi-service referrals to appropriate community services such as Home Health, Home Support, Residential and/or other related community services; collaborates with other community service providers to provide advice to the client, families and other health care professionals on the client's various discharge options; manages short term Home Support hours for clients waiting to be discharged and/or referred to a community service. Responsibilities:

- Arranges client referrals from staff within an assigned acute care facility that requires community care services upon discharge or a change in level of service.
- Interviews and screens the client by gathering information from various sources and utilizes various client assessment tools to determine appropriate client care plan; reviews client care plan to determine appropriate service upon discharge such as home support, nursing care and/or residential care.
- Initiates and facilitates the development of a client care plan with other members of the interdisciplinary team; reviews hospital admissions/discharges to maintain awareness of client movement between the acute care facility and community services.
- Participates in discharge planning rounds in the acute care facility and facilitates timely discharge of patients ensuring appropriate resources are in place; assesses the client's eligibility for appropriate community services and/or placements.
- Liaises with the client, family, physician and other health care professionals to arrange for community services such as long term care, nursing care, home support and/or other community health services required for the client; ensures client receives access to appropriate information of available and eligible services.
- Facilitates timely exchange and provision of information regarding client care between the acute care facility and the community service to allow for individualized discharge planning; works with community service providers to ensure client care needs are met.
- Determines if client is capable of making decisions around client care plans, in collaboration with the interdisciplinary team; refers client to appropriate health care professional for assistance and follows procedures around patient incapacity, respecting the client's right to privacy and confidentiality.
- Completes and maintain complete documentation of client information such as forms, charts, records, statistical information and other related information, as required.
- Participates in quality improvement activities of the program by providing input into the development of indicators, standards, practices and procedures; provides recommendations to the Manager.
- Participates and assists in the orientation



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