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About the Role

The Discharge Planner will work within a fast-paced environment as a collaborative team member of an interdisciplinary team. The primary goal is to support and enable patients and families to make timely transitions through the hospital system, aiming for an exceptional patient and family experience. The role involves understanding hospital flow and capacity challenges to ensure patients receive the right care at the right time.

Responsibilities

Formulate, facilitate, and coordinate discharge plans focused on patient and family needs and goals.
Employ critical thinking and creative problem-solving for all discharge planning, including complex situations.
Provide in-depth discharge-focused assessments and collaboratively create discharge plans with the team, patient, and family.
Support, educate, and guide the implementation of discharge plans.
Facilitate timely transitions to the community by identifying and addressing safety gaps and barriers with internal and external partners.
Assess risk and need for psychosocial intervention.
Provide psychosocial assessments to identify the need for and provision of clinical social work services or referral to Social Work.

Requirements

Bachelors degree in Social Work, Nursing or a Health Discipline is required.
Masters degree is preferred.
Current registration and membership with a Regulated College.
2-5 years clinical experience in an acute care hospital setting.
Experience in Discharge planning is essential.
Demonstrated ability to conduct psychosocial assessments and counselling.
Demonstrated ability to assess risk and need for referral to Social Work for psychosocial assessment and intervention.
Demonstrated excellence in interview skills and ability.
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.).
Extensive knowledge on 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.

Skills

Critical thinking
Creative problem solving
Psychosocial assessments
Counselling
Interview skills
Communication skills
Collaboration skills
Organizational skills
Problem solving skills

Location

Mississauga Hospital
Queensway Health Centre

Work Type

Full Time Temporary

Experience Level

2-5 years clinical experience
Allied Health (AH10.6)

Education Level

Bachelors degree in Social Work, Nursing or a Health Discipline
Masters degree preferred

Salary/Compensations

$47.05-$60.98

About the Company

Trillium Health Partners is one of Canada’s largest community-based teaching hospitals, serving the growing and diverse populations of Mississauga, West Toronto, and surrounding communities through the Credit Valley Hospital, the Mississauga Hospital, the Queensway Health Centre, the Reactivation care Centre (Church Site) and the new THP-UHN Reactivation Care Centre.
Guided by our values of compassion, excellence, and courage, and through our strategic roadmap, Plan to 2030, we are creating a new kind of health care - defined not by illness, but by the health and well-being of people and communities.
Our team of more than 17,000 people serves the growing and diverse populations of Mississauga, west Toronto, and surrounding communities through the Credit Valley Hospital, the Mississauga Hospital, the Queensway Health Centre, and nine satellite locations.

Equal Opportunity

Trillium Health Partners’ (THP) is an equal opportunity employer who values the importance of antiracism work and is committed to integrating antiracism, diversity, equity and inclusion best practices throughout THP operations, policies and culture.
We encourage all applicants who are members of groups that have been marginalized on any grounds enumerated under the Ontario Human Rights Code based on race, gender identity or expression, sex, sexual orientation, disability, political belief, religion, marital or family status, age, and/or status as a First Nations, Métis or Inuk/Inuit person to consider this opportunity.
In accordance with the Accessibility for Ontarians with Disabilities Act, 2005 and the Ontario Human Rights Code Trillium Health Partners will provide accommodations throughout the recruitment and selection process to applicants with disabilities.
All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act.
Trillium Health Partners is identified under the French Language Services Act.
Our organization may use automated tools, including artificial intelligence (AI) or algorithm-assisted systems, to support the initial review of applications. These tools are used only to assist our recruiters and hiring managers; all hiring decisions include meaningful human involvement and final review.