Discharge Planner - Case Management

Saint Luke's Hospital Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

At Saint Luke's Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

 Validates patient’s demographic and payer information with patient/family and notifies Patient
Access immediately if any corrections are needed within 24 hours of admission
 Validates that all commercial/managed care discharge have an authorization for status and level of
care provided and notifies Director of Case Management (DCM) or designee of variances
 Escalates discharged cases at end of the day that have no authorization or notification or dispute is
provided by payor.
 Ensures, on a concurrent basis, that all clinical needed by payors and updates are provided by
100%
Job Description
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alerting Case Manager assigned to case and escalating to DCM if not complete timely
 Trends dispute/denial potential to DCM or designee by failure points to revenue cycle

This position may qualify for a sign-on bonus.

POSITION SUMMARY

The individual in this position works under the direction of the RN and/or Social Worker to complete referrals for post-acute services for patients, and assists with tasks that do not require a clinical license or degree. The individual’s responsibilities include the following activities:

a) arrange post-discharge services;

b) create and follow up on electronic referrals using the Tenet Case Management system;
c) review patient choice letters with patients/families for required signatures;

d) provide follow up Important Message to Medicare patients prior to discharge;

e) communicate with patients, families and other members of the care team;

(f) complete tasks assigned by Case Manager and Social Work staff;

g) make copies, send faxes and complete phone calls;

h) complete process reviews or audits as
requested;

and i) other duties as assigned.

MINIMUM EDUCATION: High School diploma or equivalent
PREFERRED EDUCATION: Associate’s or Bachelor’s Degree from an accredited college
MINIMUM EXPERIENCE: 2 years of experience in clerical or healthcare field. Possesses excellent organizational,
verbal/ written communication skills, problems solving and computer literacy skills. Data Analytics skills.
PREFERRED EXPERIENCE: Acute hospital experience
REQUIRED CERTIFICATIONS/LICENSURE: NA
PREFERRED CERTIFICATIONS/LICENSURE: Paramedic, EMT or Nursing Assistant certifications.
REQUIRED COURSES/ COMPLETIONS (e.g., CPR): NA

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