Discharge Planning Coordinator - LVN - Case Management - Full Time 8 Hour Days (Non-Exempt) (Union)

About the role

Provides department support for the Continuum of Care Team to facilitate discharge planning and ensure appropriate throughput of patients. Works with Case Managers, Transitional Care Coordinator, and Social Workers to ensure discharge plans are communicated to patients and families during hospitalization and post discharge to ensure continuity and identify clinical barriers. Enables a positive patient experience through the discharge process and connection to resources as needed.

Responsibilities

• Partners with members of the Continuum of Care team both case managers and social workers (RN Case Manager, SW Case Manager) in an effort to provide patients and family members a smooth, coordinated patient transition from hospital to home and/or the next level of care.
• Partners with members of the Care Coordination team to ensure appropriate communication occurs at the point of discharge so that the patients’ transition is smooth.
• Utilizes multiple referral platforms such as Enso care, e-fax and phone calls etc. to review post-acute referrals. Also reviews discharge instructions and discharge summary to understand patients’ post-acute plan of care and barriers to follow-up. Provides timely follow-up on all referrals.
• Communicates the discharge plan, status of plan to members of the Continuum of Care team, including allied health care team members. Participates in triad huddles and in the provisioning of assignments of the triad team.
• Contacts post-acute care facilities as directed by the Continuum of Care team to assess bed availability, submission of referrals, bed-hold days. Utilizes multiple referral platforms such as faxing, Enso care etc. to facilitate referrals.
• Coordinates all non-clinical aspects of the discharge planning process as assigned (i.e. durable medical equipment, homeless shelters, non-clinical letters, transportation) reporting any psychosocial needs, barriers or challenges to the appropriate Continuum of Care team member.
• Supports the Continuum of Care team with arranging transportation using Taxi, Ride Share, ambulance etc.
• Supports the clinical process for transfer from one level of care to another as medically indicated by the patient’s needs. Able to apply clinical knowledge to reference InterQual Discharge Screens and clinical stability for discharge/transition to the next appropriate level of care.
• Completes clinical authorization process for the discharge medications.

Requirements

• High school or equivalent
• Nursing Completion of an accredited vocational nursing program
• 2 years 2-3 years’ clinical experience
• Typing 40-55 WPM
• Experience with computer data entry
• Proficient in Microsoft Office Suite
• Good organizational skills
• Strong command of the English language
• Good customer service skills
• Ability to multitask and work effectively in a team environment

Qualifications

• Licensed Vocational Nurse - LVN (CA DCA)
• Fire Life Safety Training (LA City)