Discharge Planner - Case Management
About The Position
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.
Requirements
- MINIMUM EDUCATION: High School diploma or equivalent
- 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.
Nice To Haves
- PREFERRED EDUCATION: Associate's or Bachelor's Degree from an accredited college
- PREFERRED EXPERIENCE: Acute hospital experience
- PREFERRED CERTIFICATIONS/LICENSURE: Paramedic, EMT or Nursing Assistant certifications.
Responsibilities
- arrange post-discharge services
- create and follow up on electronic referrals using the Tenet Case Management system
- review patient choice letters with patients/families for required signatures
- provide follow up Important Message to Medicare patients prior to discharge
- communicate with patients, families and other members of the care team
- complete tasks assigned by Case Manager and Social Work staff
- make copies, send faxes and complete phone calls
- complete process reviews or audits as requested
- other duties as assigned
- 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 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
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
