Summary:
As a member of a multidisciplinary team and in consultation with medical staff and ancillary services provides assistance to ensure implementation of discharge arrangements for all patients. Functions as a liaison between patient/hospital and outside agencies regarding discharge arrangements and financial resources. All activities are carried out in consideration of aging processes human development stages and cultural patterns.

Responsibilities:
Demonstrates understanding of Hospital*s Mission Vision and Values.

Demonstrates understanding of job description performance expectations and competency assessment plan.

Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to our customer service standards.

Complies with department and hospital policies and procedures.

- Reviews policies and procedures

- Reviews Employee Handbook

Completes mandatory education.

- Hospital-wide

- Department-specific

- Job-specific

Participates in departmental and/or interdepartmental quality improvement activities.

Participates as a member of the multidisciplinary team in patient conferences with case managers and post-discharge care facilities in the development and implementation of the discharge planning process.

In accordance with established standards and criteria facilitates transfer of patients from hospital to appropriate post-discharge care facility by maintaining caseloads consisting of patients awaiting placement home care sub-acute assessments etc.

Initiates orders for durable medical equipment (with the exception of home oxygen) and community services as needed

Processes referral paperwork as needed and/or receiving agency ensuring demographic information on referrals is recorded and that nursing is notified of diagnosis orders etc.

Assists in completion of interagency and placement application forms as appropriate.



Communicates issues and keeps multidisciplinary team apprised of issues and progress.

Represents the needs and interests of the patients and families to the team.

Communicates with home care post-discharge care facilities and other facilities as relates to needs; ensures team is apprised of issues and progress

Participates in the development of case management department studies program policies procedures and projects including planning and coordinating activities as necessary.

Develops and maintains directory of all resources essential for effective discharge planning including nursing homes rehabilitation hospitals chronic care hospitals shelters respites other extended care facilities day programs and home health services (tertiary secondary non- and for-profit organizations and the like). Directory also is maintained regarding durable medical equipment services community agencies and related services emergency response systems transportation services and entitlement programs. Ensures currency of information.

Participates in ongoing education-related professional activities and affiliations to maintain knowledge of patient care services and case management.

Participates in or leads various committees task forces and quality improvement teams as needed.

Collaborates with discharge planning team and nursing leadership to affect quality outcomes.

Collaborates with Physician to ensure placement of patient at appropriate level of care ( sub acute referral SNF Assisted care HomeCare etc.

Collaborates with Social Work services regarding issues such as (but not limited to) guardianship at risk elderly PASARR review process on behavioral health placements and other services as indicated.

Performs medical record audits to ensure COC (Continuity of Care) forms (as they pertain to discharge planning) are complete and accurate.

Administers and explains Important Medicare Message to all Medicare recipients as it relates to their discharge rights and appeals process.

Performs other related duties as directed.

Other information:
Qualifications:

Possess a Bachelors Degree in Healthcare or related field.



Level of knowledge in healthcare delivery systems and services clinical issues discharge planning processes third party payer regulations and the like such as may have been obtained through experience in such roles as registered nurse clinical social worker discharge planner case manager or similar position.



Must have one year current relevant healthcare professional experience in a healthcare setting or human service agency.

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.

Location: Newport Hospital USA:RI:Newport

Work Type: Full Time

Shift: Shift 1

Union: Non-Union