Discharge Planning Assistant, Clinical Case Management

Job Description

The Discharge Planning Assistant plans and facilitates safe discharges for patients utilizing clinical information and effective interpersonal skills. Hiring for Ortho service and Medicine Teams.

Responsibilities

Transition of Care Planning - 60% Collaborate with the social worker in developing the plan of care, make appropriate referrals and coordinate the ongoing needs of the patient. Secure order from physician; monitor form completion; ensure home care set-up is consistent with what is ordered. Facilitate the discharge plan by entering patient data into Allscripts/ ECIN� system for home care, DME or post-acute care facilities referrals as needed. Communicate with home care and durable medical equipment vendors to query patient benefits, and determine specifics of time and date that care and/or equipment is needed to maintain continuity of care for patient needs. Address service delivery obstacles including self-pay pricing and network restrictions. Determine financial/payer status; collaborate with financial counselor to ensure alignment of care recommendations and payer provisions. Obtain insurance approval for services as needed; charity care negotiations; special contracts. Negotiate pending Medicaid equipment; homecare; Barrett IV infusion for patients with limited resources. Assist with pharmacy issues, clothing concerns, Holmes on Eden, etc. Utilize effective engagement and interpersonal skills in interactions with patient�s family and health care team. Perform clerical functions related to discharge planning process such as faxing, copying, discharge packets, etc. Utilize Allscripts/ECIN� according to department standards to make discharge planning arrangements as requested. � Community Relations - 20% Obtain and maintain current, accurate information regarding community DME, infusion and other homecare resources. Employ effective negotiation skills in order to secure the most appropriate and affordable home care resources for the patient. Assist in identifying patients in need of special contracts for home care/DME assistance. � Discharge/follow up phone calls - 10% Contact patient/family after discharge to ensure that home care services have been received. Ensure patient satisfaction with the discharge process and the services delivered. � Miscellaneous - 5% Support various quality initiatives under the direction of department leadership, i.e. CQI. Demonstrate customer focused interpersonal skills, utilizing problem solving process. Communicate, resolves or, when appropriate escalates to the social worker instances of conflict with physicians, health care team members, community agencies, clients and families with diverse opinions, values and religious/cultural ideas. Perform other duties as assigned; for example, participation in planning sessions for departmental activities. Assist with maintaining the equipment closet. � Professional Development - 5% Maintain licensure by obtaining CEU�s, if appropriate. Attend appropriate workshops, in-services and departmental meetings. Stay abreast of community resources available to facilitate safe patient transitions of care. | Review the physical demands and assign an overall average percentage of time this position performs these activities. These physical demands will not be listed or rated on the annual performance appraisal. Climbing:�Ascending or descending stairs, ladders, ramps, etc, using feet and legs and /or hands and arms - 10% Stooping:�Bending body downward and forward by bending spine at the waist - 10% Kneeling:�Bending legs at knees to come to a rest on knee or knees - 10% Reaching:�Extending hand(s) and arm(s) in any direction - 50% Standing: Remaining upright on the feet, particularly for sustained periods of time - 100% Walking:�Moving about on foot to accomplish tasks - 100% Pushing 0-10 lbs:�Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 10% Pushing 11-20 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 10% Pushing 21-50 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 10% Pushing 51 lbs or more: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 10% Pulling: Use of upper extremities to exert force in order to drag, haul or tug objects in a sustained motion - 10% Lifting 0-10 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 10% Lifting 11-20 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 10% Lifting 21-50 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 10% Lifting 51 lbs or more: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 10% Carrying 0-10 lbs: Holding and moving/transporting an object about - 50% Carrying 11-20 lbs: Holding and moving/transporting an object about - 50% Carrying 21-50 lbs: Holding and moving/transporting an object about - 50% Carrying 51 lbs or more: Holding and moving/transporting an object about - 50% Fingering: Picking, pinching, typing or otherwise working primarily with fingers rather than with the whole hand or arm, as in handling - 100% Feeling: Perceiving attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of (using) fingertips - 100% Talking: Expressing or exchanging ideas by means of the spoken word - must convey detailed or spoken instructions to others accurately, loudly or quickly - 100% Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication - 100% Seeing: The process of perceiving objects by use of the eyes to perform an activity - visual acuity requirements include ability to discern position of object(s), shape of object(s), color, depth perception or visual inspection - 100%

Qualifications

Minimum Required: High School Diploma or GED ? Preferred: Bachelor's Degree in Social Work/Nursing | None Required | Minimum Required: No experience required ? Preferred: 1 - 2 Years equivalent experience