- All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. 
- Develops individualized treatment plans which encompass discharge planning and follow up; including but notlimited to facilitation of alternative placement, coordination of medical equipment, and case collaboration with referral resources to support transition/discharge to the next level of care. 
- Prepares case history of patient's personal, social, and emotional development. 
- Assists patients in the evaluation of their strengths and symptoms and the incorporation of these into personalized treatment goals 
- Provides therapeutic intervention with patient\family including individual, marital, parental, family, and grouptherapies. 
- Provides education related to patient's diagnosis 
- Communicates patient and family issues to treatment team and acts as the liaison between other active services and/or services involved in patient's discharge plan 
- Assists patients in locating and utilizing community resources including legal, financial assistance, and otherreferral services. 
- Strives to expand the variations of service they provide by integrating community-based programs to provide home and community-based treatment options for the identified patient/family. 
- Responsible for clinical updates and advocates with 3rd party payers when required. 
- Documents all social service interventions and maintains patient and program records in accordance withapplicable standards and regulations. 
- Monitors caseload and quality review to assure compliance for third-party payers and regulatory agenciesincluding, but not limited to, clinical documentation, chart review, completion of prior request andauthorizations. 
- Assumes responsibilities for making sure individualized treatment plan is implemented with patient/family 
- Demonstrates a working knowledge of psychological, behavioral, physical, health, and medical sequela of various disabilities and incorporates this knowledge into treatment planning. 
- Demonstrates a working knowledge of various supportive, vocational, and community resources addressing and supporting recovery of various psychological, behavioral, and physical disabilities. 
- Demonstrates knowledge of age-appropriate interventions and cultural differences as applied to the recoveryprocess. 
- Coordinates outpatient scheduling including initializing the recertification of services. 
- Applies facets of Mental Health First Aid during times of crisis to patients. 
- Enhances professional growth and development through professional affiliations, participation in educational programs, in-service meetings, workshops and review of current literature. 
- Participates in planning conferences and peer supervision, adhering to a professional code of ethics. 
- Identifies and works with potential community support systems such as neighborhood networks and communityorganizations to support patient transition and discharge planning. 
- Performs as Designated Examiners which involves the commitment process, designated exam, and testimony for probate courts. 
- Provides oversight and supervision to students from local universities. Assists student interns from affiliated schools in the professional development of clinical skills. 
- Collaborates with the department's leadership team in assessing department needs and designing systems to meet department and organizational strategic initiatives. 
- Coordinates with utilization review to determine need for authorization of payer of active or post-acute services. 
- Maintains program statistics, through internal audits for purposes of evaluation and research. 
- Participates in weekend on call rotation. 
- Provides intake and psychosocial assessments for all patients in accordance with hospital and departmental policy and procedures/regulation requirements. 
- Assesses for immediate discharge planning needs, develops and coordinates a discharge plan as determined by the patient's mental status, level of independence, functional capacity, family/social support systems, and financial resources. 
- Assesses preadmit resources and services as well as support systems 
- Determines appropriate follow up and referral services as identified by the interdisciplinary team. 
- Participates in following and monitoring corporate compliance standards. 
- Participates in program evaluation, CQI studies and performance improvement measures. 
- Provides input into formulation or revision of departmental policies and procedures. 
- Performs other duties as assigned.