Role Summary: The Social Worker will evaluate the psychosocial needs of patients and family support systems and will coordinate appropriate discharge plans for identified patient populations. The Social Worker acts as a liaison between the facility and resources external to the organization. He/she will facilitate implementing timely discharge plans and facilitate follow-up to anticipated post-acute interventions identified in the plan of care. The Social Worker will provide crisis intervention and support. The Social Worker will assist the Resource Manager in facilitating patient movement across the continuum of care and will identify and track barriers to patient throughput.
Performs a comprehensive assessment of psychosocial needs of assigned patients
Assesses patients discharge needs and facilitates the provision of services necessary to meet identified needs
Evaluates suspected abuse and neglect referrals and makes official reports
Develops an individual plan of care for recurring patients to include education related to accessing healthcare services at the appropriate level of care
Provides education to the under-resources patient/family of potential and available resources
In collaboration with the interdisciplinary team, develops, implements, evaluates, revises as needed, a discharge plan to include identifies psychosocial an discharge needs
Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
Participates with the interdisciplinary team to ensure psychosocial and discharge needs are addressed
Acts as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies
Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
Makes appropriate referrals, after collaboration with the Case Manager, to third party payer disease and case management programs for recurring patients and patients with chronic disease states
Facilitates patient throughput with an ongoing focus on quality outcomes and an efficient transition between levels of care
Tracks and trends barriers to care, makes recommendations and develops action plans to improve processes and systems
Provides psychosocial support to patients and families through crises intervention
Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered
Acts as an advocate for identified needs and makes appropriate referrals
Acts as a liaison between the facility and community resources to enhance community outreach coordination
Tracks and trends variances barriers related to access to care
Adheres to established policy and procedure and standard of care
The Behavioral Health program at Vanderbilt Wilson County Hospital - McFarland campus provides inpatient care for adults with acute mental health problems. Our team works together to provide evaluation, stabilization and medical management in a safe environment. We create a treatment plan focused on patients' mental, emotional, physical and medical needs. We also provide resources and support to help patients achieve optimal health.
We offer a 24-hour referral line and intake evaluation with qualified nurses or master's level social workers. The team works with the on-call psychiatrist to evaluate and provide recommendations. For more information about our department, please visit: https://vanderbiltwilsoncountyhospital.com/behavioral-health
Weekend and Holiday Rotation
Discover Vanderbilt University Medical Center:
Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. It is a place where your diversity -- of culture, thinking, learning and leading -- is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Vanderbilt Wilson County Hospital:
For more than 40 years, Vanderbilt Wilson County Hospital (formerly Tennova Healthcare - Lebanon) has been a place of healing and connection for patients and families in Wilson County and the surrounding area. The two-campus facility is the sole provider of inpatient and outpatient medical services in Wilson County.Known for comprehensive services, recognized care, and a commitment to the community, VWCH became a part of the Vanderbilt University Medical Center family (VUMC) in August of 2019.
Recognition Awards for Quality
Joint Commission certified in total Hip and Knee Replacement
The Joint Commission Certified Primary Stroke Center
American College of Cardiology Accredited Chest Pain Center
Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) as a Comprehensive Center
American College of Radiology Accreditations - Mammography and Ultrasound
We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center's mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being.
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period. Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As t...he largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.