drjobs Discharge Planner - Full-Time Days

Discharge Planner - Full-Time Days

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1 Vacancy
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Job Location drjobs

Los Angeles, CA - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

If interested please apply online and send resume to

POSITION SUMMARY

Manages the discharge/transition process by working closely with the patient and/or family and coordinating care with the multidisciplinary team: including physicians nursing and community based organizations to ensure patients adequate post-acute care transition. Applies substantial knowledge and experience to perform a wide range of advanced activities and/or determines how to use resources to meet schedules and organizational goals; serves as lead for team or work group.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  1. Assists patients through the healthcare system by operating as a patient advocate and health systems navigator.
  2. Coordinates continuity of patient care with external healthcare organizations and facilities.
    1. Obtains patient choice for post-acute facilities as required by CMS Conditions of Participation.
    2. Coordinates referrals to post-acute facilities including home care DME SNF LTAC Acute Rehabilitation based on patient/family choice when patient has Medicare.
    3. Coordinates referrals to contracted facilities and vendors for managed care.
  3. Reports care/discharge barriers to appropriate care manager.
  4. Follow the continuum of patient care for admission to post-discharge.
  5. Communicates with patients and families with regard to transition plans as directed by the Care Manager.
  6. Promotes clear communication amongst interdisciplinary care team members by ensuring awareness regarding patient care plans.
  7. Coordinates special needs and projects as assigned (resource manuals complex placement recuperative care)
  8. Knowledge of Medicare guidelines for post-acute needs IE: oxygen wheelchairs PT/OT/ST feeding supplies
  9. Documents in the patients medical record for continuum of care.
  10. Coordinates transportation arrangements according to insurance requirements or as needed to meet post discharge needs
  11. Assists with post-acute needs as requested by CM Leadership or RN Case Manager.
  12. Provides education to patient and/or family in the use of equipment as needed
  13. Attends Physician or Bedside Rounds as directed by the Case Manager or CM Manager
  14. May be requested to perform data collection or provide reports
  15. Take the initiative with delivering care
  16. Assist with higher level of care
  17. Performs other duties as assigned.

POSITION REQUIREMENTS

A. Education

B. Qualifications/Experience

Skills/Knowledge

#LI-YD1

Employment Type

Full-Time

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