Discharge planner / Rehabilitation Coordinator needed at Faircape Group

• Faircape Group is currently looking for a qualified social worker to act as a Discharge planner / Rehabilitation Coordinator who will ensure clients achieve their agreed outcomes within the set planned discharge date and also coordinate and manage the discharge planning process at Heritage Manor 
• If you would like to work in a busy, dynamic environment, then apply now!

Specific duties include but is not limited to the following:

• Discharge planning: 
• Attend and participate in appropriate Multidisciplinary meetings. 
• Assist patients and families with discharge arrangement as identified in the Multidisciplinary meetings. 
• Scheduling and facilitation of family meetings of patients identified.
• Provide emotional support and refer to a psychologist if ongoing support is needed.
• Advocate for the best interest of the patient.
• Report suspicions of abuse or neglect according to the guidelines set out in the Older Persons Act 13 of 2006
• Provide feedback and communication to the appropriate MDT’s.
• Assist with staff training within area of skill and competence
• Provide health education/promotion written materials or presentations to residents/families
• Rehabilitation Coordinator: 
• Facilitate subacute viewings 
• It is crucial to ensure the patient has a clear understanding of the following after the MDT meeting:
• Goals set by MDT: The specific goals that the multidisciplinary team has established for the patient’s recovery, which will guide their rehabilitation program.
• Length of stay based on the goal: The expected duration of the patient’s stay at the facility, aligned with the rehabilitation goals and progress benchmarks.
• Medical-aid feedback: Any feedback regarding the medical aid coverage, including whether there’s a maximum stay or if additional payment options might be needed.
• Family and patient communication: Ensuring that both the patient and their family are aware of and understand the MDT feedback.
• Confirm discharge dates of patients
• Ensure discharge patient experience surveys are completed and escalated if needed, one day prior to discharge / discharge report / follow up appointment 
• Book clients for and manage the post discharge clinic
• Complete the relevant discharge tasks once the patient is discharged 
• Ensure specialist referrals are completed and sent through to the referring specialist
• Follow up patients who is being transferred back to hospital

Requirements:

Qualifications 

• Bachelor’s Degree in Social Work 

Experience and Knowledge

• Proven experience working in a similar role 
• Proven experience in hospital case management discharge planning or related medical field will be beneficial 
• Knowledge pertaining to external private and government frail cares and home care services will be beneficial
• Knowledge of the Older Person Act 

Skills and Attributes

• Computer literate
• Excellent communication skills (verbal and written)
• Excellent organisational and time management skills
• Deadline driven
• Able to perform under pressure
• Demonstrate respect for the individuality of the patients and families
• Ability to establish and maintain collaborative and effective working relationships
• Demonstrates analytical and critical thinking abilities with proactive decision making and negotiation skills

Specific Requirements

• Solid and positive references
• Clear health record
• Clear credit record
• No criminal record