Discharge Planner - Per Diem

Hospital for Special Surgery•New York, NY

8d•Onsite

About The Position

The Case Manager incorporates the case management process of assessment, planning, implementation, coordination, monitoring and evaluation into daily practice to manage the patient's broad spectrum of needs across the continuum of care. The Case Manager applies clinical expertise and core knowledge domains of case management into daily practice. Data is interpolated from patient/ family assessments, the interdisciplinary care team and medical record to evaluate the patient's inpatient plan of care, progress along clinical pathways and care guidelines and discharge plan. Collaborates with the patient/ family, interdisciplinary care team, medical staff, payers, and post discharge providers to facilitate and coordinate patient specific evidenced-based care. Patient care is transitioned through communication and appropriate referral to the next provider of care.

Requirements

Knowledge of case management, with emphasis on discharge planning.
Ability to problem solve, multi-task and manage projects independently.
Knowledge of regulatory and insurance standards and protocols.
Proficiency in utilizing evidence based guidelines.
Current social work license, LMSW or LCSW with current NY registration or current NYS RN licensure and Bachelor's degree in Nursing or related field.

Nice To Haves

CCM certification

Responsibilities

Manage the patient's broad spectrum of needs across the continuum of care.
Apply clinical expertise and core knowledge domains of case management into daily practice.
Evaluate the patient's inpatient plan of care, progress along clinical pathways and care guidelines and discharge plan.
Collaborate with the patient/ family, interdisciplinary care team, medical staff, payers, and post discharge providers to facilitate and coordinate patient specific evidenced-based care.
Transition patient care through communication and appropriate referral to the next provider of care.