Discharge Planner

About the role

This position functions as a member of the interdisciplinary treatment team with primary responsibility for initial assessments, discharge planning, and other case management responsibilities. The role requires performing case management tasks with minimal supervision consistent with the developmental age of the patients served.

Responsibilities

• Participates as an integral professional member of an interdisciplinary team.
• Collects and records data comprehensively, accurately, and systematically in the assessment form and in progress notes.
• Affords assistance in obtaining additional information from referral sources and health professionals involved in the patient's discharge status.
• Advocates on behalf of the patient to maximize available services.
• Assists in the coordination of planning efforts and determines the appropriateness of admissions.
• Collaborates with the treatment team to develop discharge plans from the day of admission.
• Acts as a liaison between patients and their families and various community agencies, hospital consultants, and services.
• Coordinates post-acute care planning including referrals to skilled nursing, rehabilitation, home health, or durable medical equipment providers.
• Provides education to patients and families to support discharge readiness and ensure understanding of post-discharge instructions and available services.
• Demonstrates working knowledge of Medicare, Medicaid, and private insurance guidelines relevant to post-acute services and transitions of care.
• Documents discharge planning activities, patient/family communications, and care coordination in accordance with hospital policy and regulatory standards.
• Collaborates with case managers, utilization review, and third-party payors to support timely transitions and resolve coverage or authorization issues.
• Assists patients and families in navigating community-based resources, including transportation, housing, or medical support programs.
• Participates in weekend or holiday rotations as needed to ensure continuity of discharge planning services if applicable for your assigned unit.

Requirements

• Minimum Qualifications: Bachelor’s degree in Social Work, Psychology, Sociology, Nursing, or related field. State criminal background check and Federal (if applicable), as required for regulated areas.
• PREFERRED QUALIFICATIONS: One (1) year experience in a healthcare setting.

Qualifications

• Must have independent decision-making ability.
• Ability to work with multi-disciplinary groups and facilitate meetings.
• Ability to work independently or cooperatively as a team member.

Skills

• Working knowledge of Medicare, Medicaid, and private insurance guidelines relevant to post-acute services and transitions of care.
• Timely documentation of discharge planning activities, patient/family communications, and care coordination in accordance with hospital policy and regulatory standards.
• Collaboration with case managers, utilization review, and third-party payors to support timely transitions and resolve coverage or authorization issues.
• Assistance in navigating community-based resources, including transportation, housing, or medical support programs.

Benefits

N/A

Pay

N/A

Schedule

N/A