Quality Process Coord/Discharge Planner: FT

Firelands Health Careers•Bellevue, OH

40d•Onsite

About The Position

Firelands Health is seeking a Quality Process Coordinator/Discharge Planner to join their team. This full-time position offers a supportive work environment with a focus on employee well-being, including tuition reimbursement, loan forgiveness, comprehensive health benefits, paid time off, 401(k), and wellness programs. Located in Sandusky, Ohio, a vibrant coastal town on Lake Erie, this role is part of a leading independent healthcare system dedicated to providing excellent healthcare and promoting community wellness. Firelands Health is committed to its Core ACE Values: Attitude, Commitment, and Enthusiasm.

Requirements

RN-BSN Preferred.
License must be active and valid in the State of Ohio.
Demonstrated ability to work with constant attention to detail and accuracy.
Demonstrated ability to work closely and cooperatively with others; educate effectively and influence appropriate actions to effect positive change.
Three to five years’ experience in an acute care hospital setting.
Experience with case management process.

Nice To Haves

Certification in a field related to Case Management preferred.

Responsibilities

Performs concurrent and retrospective multi-disciplinary review of patient care using comprehensive quality review criteria.
Compiles and organizes data into meaningful reports for evaluation and identifies opportunities for improvement.
Coordinates interdisciplinary intervention for planned change and promotes development and enhancement of total quality systems.
Responsible for initial and ongoing discharge planning throughout the acute care continuum, facilitating safe and appropriate discharge plans to post-acute environments.
Identifies potential risk management and utilization issues and reports findings per departmental protocol.
Works closely with the Social Worker in identifying discharge and transition needs and coordinates discharge planning activities with internal and external staff.
Participates in quality improvement and evaluation processes, maintaining knowledge of interdisciplinary standards of care and evidence-based best practices.
Conducts 'real time'/concurrent and retrospective assessments of processes and outcomes, communicating within the interdisciplinary team and providing direct service as needed.
Assists with the development of criteria-based evaluation tools, identifies opportunities to improve patient care, and assures appropriate reporting and follow-through.
Aggregates data and provides timely, pertinent, reliable, and accurate reports on findings.
Abstracts direct patient data as needed and collaborates with Directors and caregivers on care process development and refinement.
Institutes immediate feedback to personnel regarding systems/process/quality deficiencies and coordinates the flow of findings to facilitate peer evaluation.
Manages quality information in the assigned database, monitoring functions and registries, including inputs, data validation, and reporting.
Exercises ingenuity, judgment, and problem-solving techniques in the absence of established guidelines.
Demonstrates responsibility through responsiveness and competent follow-up on matters requiring attention.
Maintains a consistent level of performance, avoids extreme activity fluctuations, and maintains progress on special projects.
Conducts comprehensive discharge planning assessments within 1 business day of admission or as required.
Conducts readmission risk stratification and follow-up care as appropriate.
Collaborates with interdisciplinary care teams to develop individualized discharge plans based on medical, psychosocial, and functional needs.
Facilitates communication between the patient, family, physicians, nursing, social work, and post-acute care providers.
Arranges and coordinates post-discharge services, including SNF placement, home health services, rehabilitation services, DME, transportation, and follow-up medical appointments.
Provides patients and caregivers education regarding the discharge plan.
Documents all discharge planning activities in the electronic medical record (EMR) in accordance with hospital policy.
Identifies and addresses barriers to discharge in a timely manner.
Participates in interdisciplinary rounds as per hospital policy.
Maintains current knowledge of community resources, insurance guidelines, Medicare/Medicaid, and managed care regulations.
Promotes patient safety and readmission reduction through proactive discharge planning and education.
Communicates with nursing and medical staff in assessing psychosocial needs to monitor and oversee the discharge plan.
Maintains current working knowledge of HFAP, COBRA, EMTALA, OSHA, CMS, and other regulatory standards.
Maintains current, accurate documentation in the patient's medical record.
Maintains current and accurate data collection related to the quality of care delivery.
Works with the social worker in assigning tasks and responsibilities in the discharge planning process.
Maintains a working knowledge of and updates community resources in areas of practice.
Participates in reporting suspected abuse, neglect, or exploitation prior to hospitalization as indicated by hospital protocol.
Reports findings to the appropriate agency.
Assures all high risk and/or complex patients have an interim plan of discharge established prior to discharge.
Proposes alternative placement and/or treatment options to facilitate cost-efficient care plans and quality outcomes.
Collects appropriate avoidable delays and other data as directed.