Care Transitions Discharge Specialist
GENERAL SUMMARY:
The Care Management Discharge Specialist is responsible for creating, communicating and finalizing plans of care within the Care Management team. Support tasks include appropriate utilization of resources, and payer and community provider communications. Participates by supporting the Care Management team and processes in planning the care of clients throughout their stay to optimize reimbursement, minimize patient expense and facilitate quality outcomes.
PRINCIPAL JOB FUNCTIONS:
1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.
2. *Participates in interdisciplinary team meetings and follows direction from Care Management staff regarding client's continued stay and discharge planning needs.
3. *Interacts in an interdisciplinary manner and serves as a resource regarding patient's appropriateness for admission, admission status, discharge planning and length of stay.
4. *Anticipates and assists with planning for post-acute needs, inclusive of durable medical equipment, transportation, indigent medications, primary care physicians, financial and alternative levels of care.
5. *Documents client information and discharge plans according to departmental procedures and standards; identifies and documents actual and potential delays in days, services and treatments.
6. *Contacts community service providers to make referrals, coordinates needed appointments and describes client needs for continuing services.
7. *Performs support functions of faxing, copying and telephoning as needed to assist Care Management processes.
EDUCATION AND EXPERIENCE:
Associates degree in Social Sciences or Allied Health field of study required. Bachelors degree in Social Work preferred. Minimum of two (2) years clinical experience in a health care setting required. Prior case management or patient discharge planning experience desired.
OTHER CREDENTIALS / CERTIFICATIONS:
None

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