Discharge Coordinator

AHMC Healthcare•Whittier, CA

About The Position

Responsibilities Assessment Does the initial screening of all elective inpatient admissions related to: Appropriateness of admission Coordinates and supervises data and reporting needs. Provide timely discharge planning. Coordinates out-of-area transfers as well as third party contractual arrangements and supervise ground transportation, home health and durable medical equipment. Appropriate resource utilization Coordinates the pre-admission screening and education of the identified patient populations Documents patients admitted directly through Pre-Admissions in the laptop system and forwards the information on to the Case Managers as appropriate with discharge planning concerns and the initial discharge-planning screen. Utilization and documents patient admitted directly. Technical and Job Specific Skills Ensures facility compliance with federal and state regulations involving the Case Management practice. Answers inquires and educate patient, family, MD and hospital employee on discharge follow up. Assists Case Managers with Patient Transfers and Discharges Frequently contact with case manager, charge nurse, bedside nurse, outside facilities to obtain and verify and/or provide information regarding the discharge follow up. Utilizes Interqual - Screening criteria for all admissions and observations status patients. Collaborate with all respective departments to ensure patient flow during the admission and transfer process. Interacts with the Admitting Md as appropriate involving the Physician Advisor as needed for inappropriate admits transfers and level of care. Assist case manager on initial screening of all elective inpatient admission related to: level of care, appropriateness of admissions, discharge needs, third party contract arrangements, appropriate resource. Utilization and documents patient directly. Appropriately prioritize work activities. Performance/Process Improvement Is aware of and follows all hospital and department process policies and procedures. Is knowledgeable of Improvement performance/process improvement (P.I.) methodology. Offers performance/process improvement. Guest/Interdepartmental Relations As observed by representatives of management, all interactions are conducted in a professional manner. Consistently exhibits appropriate phone protocol. Consistently contributes to the team effort (e.g., assists co-workers when need is observed or upon request, offers constructive suggestions). Productivity Maintains high productivity and performs efficiently regardless of whether the work volume is high or low. Appropriately prioritizes work activities. Responds to difficult situations with self-control and a positive attitude. Key Success Factors Readily accepts work assignments in a positive manner. Performs work that is accurate, neat and consistent. Documentation is legible. Reports safety issues and equipment failures appropriately. Projects a professional image, follows the hospital dress code policy and/or department requirements. Wears hospital ID badge at all times on duty. Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception. Employee reports to work each regularly scheduled work day.

Requirements

Minimum Education: Preferred Bachelors of Science/Nursing or Bachelors of Health Care Administration.
Minimum Experience: 2 -3 years’ experience in an acute care setting preferred.
Working knowledge of InterQual IS-SI Milliman and Robertson Managed Care guidelines, Erickson Life Skills (Age Competencies), Medicare Part A and Part B, Medic-Cal NCQA, HEDIS and other criteria as identified by the Quality/Care Management Department.
Working knowledge of Care-M.A.P. development and implementation.
Working knowledge of managed care and capitation.

Nice To Haves

Preferred Certifications: Current and valid CA LVN.

Responsibilities

Assessment
Does the initial screening of all elective inpatient admissions related to: Appropriateness of admission
Coordinates and supervises data and reporting needs.
Provide timely discharge planning.
Coordinates out-of-area transfers as well as third party contractual arrangements and supervise ground transportation, home health and durable medical equipment.
Appropriate resource utilization
Coordinates the pre-admission screening and education of the identified patient populations
Documents patients admitted directly through Pre-Admissions in the laptop system and forwards the information on to the Case Managers as appropriate with discharge planning concerns and the initial discharge-planning screen.
Utilization and documents patient admitted directly.
Ensures facility compliance with federal and state regulations involving the Case Management practice.
Answers inquires and educate patient, family, MD and hospital employee on discharge follow up.
Assists Case Managers with Patient Transfers and Discharges
Frequently contact with case manager, charge nurse, bedside nurse, outside facilities to obtain and verify and/or provide information regarding the discharge follow up.
Utilizes Interqual - Screening criteria for all admissions and observations status patients.
Collaborate with all respective departments to ensure patient flow during the admission and transfer process.
Interacts with the Admitting Md as appropriate involving the Physician Advisor as needed for inappropriate admits transfers and level of care.
Assist case manager on initial screening of all elective inpatient admission related to: level of care, appropriateness of admissions, discharge needs, third party contract arrangements, appropriate resource.
Utilization and documents patient directly.
Appropriately prioritize work activities.
Is aware of and follows all hospital and department process policies and procedures.
Is knowledgeable of Improvement performance/process improvement (P.I.) methodology.
Offers performance/process improvement.
As observed by representatives of management, all interactions are conducted in a professional manner.
Consistently exhibits appropriate phone protocol.
Consistently contributes to the team effort (e.g., assists co-workers when need is observed or upon request, offers constructive suggestions).
Maintains high productivity and performs efficiently regardless of whether the work volume is high or low.
Appropriately prioritizes work activities.
Responds to difficult situations with self-control and a positive attitude.
Readily accepts work assignments in a positive manner.
Performs work that is accurate, neat and consistent.
Documentation is legible.
Reports safety issues and equipment failures appropriately.
Projects a professional image, follows the hospital dress code policy and/or department requirements.
Wears hospital ID badge at all times on duty.
Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception.
Employee reports to work each regularly scheduled work day.