What are the responsibilities and job description for the Discharge Planner position at Cherokee Nation?
Job Summary:
LEVEL OF RESPONSIBILITY
Job Duties:
ESSENTIAL DUTIES AND RESPONSIBILITIES
LEVEL OF RESPONSIBILITY
Qualifications:
COMPETENCIES
PHYSICAL REQUIREMENTS
CERTIFICATES, LICENSES, REGISTRATIONS
OTHER REQUIREMENTS
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Coordinates direct and implements discharge planning services for hospital inpatients.
- Screens admissions to the hospital for social services and discharge planning needs.
- Ensures timely discharge through early intervention identification of post-hospital care needs.
- Evaluates the home situation and assesses ability and resources available to care for the patient at home.
- Ensures continuity of care needs are assessed and met.
- Coordinates plan of care with patient, family, and physician.
- Assists patient and family to develop a realistic post-hospital plan of care that allows the patient to be safely discharged and arranges for home care needs such as home health, durable medical equipment, and community services.
- Develops and maintains ongoing relationships with area nursing homes, home health, and durable medical equipment agencies.
- Assists families to locate a nursing home or other post care facilities and assists placement if needed.
- Identifies quality improvement opportunities within the department to ensure efficiency and appropriateness of discharge plans and services offered.
- Keeps abreast of current regulatory requirements related to discharge planning including Medicare, Medicaid, and other third-party payer requirements.
- Reports and participates in the discharge planning committee and Utilization Management Committee providing in-service education as needed.
- Educates patient and family regarding Medicare and/or third payments for discharge needs.
- Refers patient to Patient Care Benefits coordinator as appropriate for assistance.
- Keeps, updates and maintains a current list of available home health agencies, durable medical equipment (DME) companies, hospice, and long term care facilities.
- Educates hospital and medical staff regarding available discharge planning services, including the lead time necessary to obtain services.
- Attends and participates in morning report meetings.
- Collaborates and assists as needed with Inpatient Case Management.
- May perform supervisory duties as needed when the supervisor is not available and other duties as assigned.
LEVEL OF RESPONSIBILITY
- Performs work under general supervision.
- Handles moderately complex issues and problems, and refers more complex issues to higher-level staff.
- Possesses solid working knowledge of subject matter.
- Acts as a lead.
Job Duties:
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Coordinates direct and implements discharge planning services for hospital inpatients.
- Screens admissions to the hospital for social services and discharge planning needs.
- Ensures timely discharge through early intervention identification of post-hospital care needs.
- Evaluates the home situation and assesses ability and resources available to care for the patient at home.
- Ensures continuity of care needs are assessed and met.
- Coordinates plan of care with patient, family, and physician.
- Assists patient and family to develop a realistic post-hospital plan of care that allows the patient to be safely discharged and arranges for home care needs such as home health, durable medical equipment, and community services.
- Develops and maintains ongoing relationships with area nursing homes, home health, and durable medical equipment agencies.
- Assists families to locate a nursing home or other post care facilities and assists placement if needed.
- Identifies quality improvement opportunities within the department to ensure efficiency and appropriateness of discharge plans and services offered.
- Keeps abreast of current regulatory requirements related to discharge planning including Medicare, Medicaid, and other third-party payer requirements.
- Reports and participates in the discharge planning committee and Utilization Management Committee providing in-service education as needed.
- Educates patient and family regarding Medicare and/or third payments for discharge needs.
- Refers patient to Patient Care Benefits coordinator as appropriate for assistance.
- Keeps, updates and maintains a current list of available home health agencies, durable medical equipment (DME) companies, hospice, and long term care facilities.
- Educates hospital and medical staff regarding available discharge planning services, including the lead time necessary to obtain services.
- Attends and participates in morning report meetings.
- Collaborates and assists as needed with Inpatient Case Management.
- May perform supervisory duties as needed when the supervisor is not available and other duties as assigned.
LEVEL OF RESPONSIBILITY
- Performs work under general supervision.
- Handles moderately complex issues and problems, and refers more complex issues to higher-level staff.
- Possesses solid working knowledge of subject matter.
- Acts as a lead.
QUALIFICATIONS
- Bachelor's degree in Social Work, Nursing, or other health-related field; no substitutions.
- At least two (2) years of experience in a related field.
COMPETENCIES
- Ability to work as part of a team.
- Oral and written communication skills.
- Problem-solving skills.
- Attentiveness.
- Interpersonal skills.
- Detail oriented.
PHYSICAL REQUIREMENTS
- While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; sit and use hands to finger, handle, or feel. The employee is occasionally required to reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl and taste or smell. The employee must occasionally lift and/or move up to 25 pounds.
CERTIFICATES, LICENSES, REGISTRATIONS
- Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating.
- Must possess and maintain Basic Life Support (BLS) Certification or acquire within one (1) year of and maintain throughout employment.
- Licensure as a Licensed Master’s Social Worker (LMSW), Licensed Social Worker Associate (LSWA), or Registered Nurse (RN) preferred but not required. Licensure must be maintained throughout employment.
OTHER REQUIREMENTS
- The employee must not be and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG's Cumulative Sanction Report, or the GSA's List of Excluded Providers, or listed on the OIG's List of Excluded Individuals/Entities (LEIE).
- Must meet and maintain pre-employment and periodic background investigation and adjudication for child care.