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.
Demonstrates understanding of Hospitals Mission Vision and
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
Complies with department and hospital policies and
- Reviews policies and procedures
- Reviews Employee Handbook
Completes mandatory education.
Participates in departmental and/or interdepartmental quality
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
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
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
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
Performs medical record audits to ensure COC (Continuity of
Care) forms (as they pertain to discharge planning) are complete
Administers and explains Important Medicare Message to all
Medicare recipients as it relates to their discharge rights and
Performs other related duties as directed.
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