Discharge Planner -per diem Case Management

Discharge Planner – per diem, 10:00 pm – 6:30 am – Case Management

The Discharge Planner provides a broad range of support services to the Care Coordinators and to the licensed Clinical Social Workers with their transition planning activities. These activities include referrals to post‑acute agencies, scheduling discharge appointments for primary care specialists or clinics, and clerical activities as needed. The Discharge Planner is also responsible for documenting all discharge planning activities appropriately in the medical record.

Work is performed under the direct supervision of a Social Work manager.

• Assists in locating facilities appropriate for patients’ needs: contacts skilled nursing facilities, Long Term Acute Care and Acute Rehab Facilities to determine bed availability and communicates with the case management team.
• Assists patients with Durable Medical Equipment (DME) as needed to meet the home care needs of the patient as ordered by the physician and meeting payer requirements.
• Contact insurance companies/medical groups to acquire authorization for post‑acute services when applicable.
• Meets with patients and families to offer transportation options and coordinates the trip.
• Assists and advocates for patients to obtain housing, food, insurance, public entitlements, legal representation, and other community resources or linkages as applicable to the individual’s needs.
• Makes post‑discharge appointments in collaboration with the patient/family: performs follow‑up on post‑discharge matters as required.
• Evaluates patient needs/requests; reports observations and brings urgent and/or crisis situations to the attention of the team immediately.
• Consults and cooperates with other professionals and agency personnel to aid them in recognizing the significant social components of health care and understanding their impact on patients and their families.
• Demonstrates a culturally sensitive approach to patients and families.

Shift

Hours:

10:00 pm – 6:30 am – Saturday and Sunday

• Education: High school diploma/GED required.
• Experience: One (1) year of healthcare experience, a general knowledge of medical terminology and experience with community resources and social supports required. One (1) year of utilization management or managed care experience preferred.