Discharge Planner - Case Management - Full Time - Days

Mohawk Valley Health System•City of Utica, NY
•$28 - $41

About The Position

Under the direction of the Director of Case Management, the Discharge Planner establishes appropriate discharge plans for patients in an acute care hospital setting. The role includes assessing psychosocial needs, coordinating discharge services, documenting anticipated and final discharge needs, and helping patients and families access community resources and follow-up care.

Requirements

  • Bachelor’s degree in a related field.

Nice To Haves

  • 2–3 years of experience in all aspects of social service and discharge planning.

Responsibilities

  • Perform psychosocial assessments to determine patients’ discharge planning needs.
  • Participate in progression rounds and report anticipated discharge planning barriers.
  • Advocate for patients and families by informing them about available community resources.
  • Collaborate with CM/Patient Type Status Nurses to ensure patients are in the correct level of care.
  • Establish appropriate discharge plans and arrange services to meet patients’ needs.
  • Document anticipated discharge planning needs and complete a final note confirming that patient needs are met.
  • Determine whether patients have a Health Care Proxy (HCP) and, if not, offer assistance in identifying one.
  • Identify a caregiver and inform them of discharge planning arrangements.
  • Ensure arrangements are made for primary care follow-up appointments or establish primary care for patients.
  • Perform other duties as required.
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