Registered Nurse - Discharge Planner w/BONUS - 5218

Vantage Search Group•North Las Vegas, NV

4d•Onsite

About The Position

We have a new opening for a Registered Nurse - Discharge Planner at Nellis AFB in North Las Vegas, NV. This role provides discharge planning services to all individuals admitted to the medical treatment facility as inpatients, same day surgery, and emergency department patients. The Discharge Planner triages discharge planning needs to permit efficient delivery of services, accurately predicts discharge/transfer needs to avert unnecessary delays, and facilitates the smooth transition from an inpatient setting to the next appropriate level of care through effective professional coordination with the patient, their family/caregiver, and the multidisciplinary healthcare team. This coordination includes patients with complex illnesses, combat stress, traumatic brain injury residuals, community adjustment problems, addictions, psychiatric illnesses, and other health problems. The role collaborates with utilization management, case management, Medical Discharge Planning Social Worker, and other healthcare team members to achieve a timely, appropriate, safe discharge that meets patient needs and complies with local facility/Department of Defense/War (DoD/W) as well as local and national discharge regulations. The Discharge Planner assesses, plans, monitors, and evaluates patient care through discharge planning, applying Interqual (McKesson)/Milliman or other facility-endorsed in- and out-patient evidence-based programs to monitor Length of Stay (LOS) and admission/discharge criteria. They actively participate in arranging transfers both into and out of the Mike O’Callaghan Military Medical Center (MOMMC), assisting in obtaining authorizations and identifying suitable transport mechanisms. The role surveys the continuum of care for quality of care concerns and reports them to supervisors. Additionally, the Discharge Planner participates in committee meetings, working groups, and process action teams. They coordinate and contact clinical units prior to patient discharge to ensure all requirements are met, such as durable medical equipment (DME), referrals to Case Management, Diabetes Educator, Social Work Service agencies, family counseling, and Home Health Care (HHC). The role monitors LOS trends to identify processes that extend LOS beyond community standards and works to expedite safe, timely discharges. They coordinate with third-party payers and TRICARE Managed Care Support Contractor (MCSC) to provide clinical information for post-discharge needs authorization, validating insurance plans and benefits. The Discharge Planner provides ongoing education to patients, providers, and staff regarding discharge planning and inpatient transfers, ensuring staff provide instructions for post-discharge care, self-care, healthy lifestyles, and appropriate use of medical services. They design services to meet educational needs, emphasizing preventive, curative, and restorative aspects of instructions, and educate patients/families on topics beyond benefits, such as nursing home or group home placement. The role also educates medical students, residents, hospital attending physicians, novice nurses, and other health personnel on discharge planning/inpatient transfer processes and participates in the orientation and training of newly assigned personnel. Establishing and maintaining good interpersonal relationships with co-workers, families, peers, and other health team members is crucial. Effective communication and collaboration with diverse groups are essential for informing the healthcare team, teaching/education, and benefiting the patient/family and organization. Accurate documentation, both written and electronic, is required. The role contributes to a professional environment using appropriate leadership and may be required to work various shifts or augment clinical nursing support within the Medical Management Department during absences of other team nurses. Ensuring a safe work environment, employee safe work habits, and patient safety in accordance with regulatory agencies, infection control policies, and process improvement initiatives is paramount. The Discharge Planner must maintain productivity and perform with minimal supervisory direction.

Requirements

Possess a Bachelors degree in Nursing from a college or university accredited by the National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).
Must have minimum of 5 years’ total nursing experience with the last 36 months working in a direct patient care hospital or acute care discharge planning.
Must have majority of experience in discharge planning for 24 recent consecutive.
Must have an extensive range of nursing care theories, principles, practices, and procedures, medical practice, TRICARE concepts, principles, and priorities, and extended clinical training and experience, or education, to analyze the full scope of problems associated with providing the best possible care to patients in the most economical manner, and to solve both administrative and professional health care problems.
Must understand the concept of what constitutes “a safe discharge.”
Must understand and be able to apply Interqual/Milliman as well as other evidence based guidelines addressing entitlements and LOD.
Must have knowledge of relevant laws such as EMTALA (Emergency Medical Treatment and Active Labor Act) and COBRA (Consolidated Omnibus Budget Reconciliation Act), being able to step in to coach providers to avoid violations of national in- and out-patient emergency transfer standards.
Must have extensive professional knowledge and skills of advanced concepts, principles, and practices to perform highly specialized nurse consultant assignments to manage the Discharge Planning Program, provide technical advice to the admissions office, medical clinics, and physicians in providing the best possible care to patients in the most economical manner, and to solve both administrative and professional health care problems.
Must have extensive knowledge of physiological/psychological norms as well as deviations from normative functions.
Current, full, active and unrestricted license as a Registered Nurse from any state.
Possess a current AHA OR ARC BLS and current Neonatal Resuscitation Program (NRP) Healthcare Provider certification.
Must possess ability to pass a Government background check/security clearance.

Responsibilities

Provides discharge planning services to all individuals admitted to the medical treatment facility as inpatients, same day surgery, and emergency department patients.
Triages discharge planning needs to permit DP to meet the most urgent, unusual needs.
Develops template for repetitive DP processes/procedures to maximize efficient delivery of services when DP is overtasked.
Accurately predict discharge/transfer needs to avert unnecessary delay in discharge, or extended Lengths of Stay (LOS) yet achieving a safe/timely discharge.
Facilitates the smooth transition from an inpatient setting to the next appropriate level of care through effective professional coordination with the patient, the patient’s family/caregiver, and the multidisciplinary healthcare team.
Collaborates with utilization management, case management, Medical Discharge Planning Social worker and other members of the healthcare team to achieve a timely, appropriate, safe discharge that meets the patient’s needs and is IAW local facility/ Department of Defense/War (DoD/W) as well as local and national discharge.
Assesses, plans, monitors, and evaluates patient care through discharge planning.
Applies Interqual (McKesson)/Milliman or other facility endorsed in- and out-patient evidence-based programs to monitor Length of Stay (LOS) as well as admission and discharge criteria.
Actively participates in arranging transfers both into the Mike O’Callaghan Military Medical Center (MOMMC) and to other medical facilities either for care not available at the MOMMC or to a higher level of care.
Surveys the continuum of care for quality of care concerns and reports them to supervisor, physician advisor, Chief Nurse Executive or other interested parties.
Participates in committee meetings, working groups, process action teams and other groups as indicated/directed.
Coordinates and contacts clinical units responsible for patient care prior to the discharge of the patient from the hospital to ensure that discharge planning requirements have been met, i.e., requirements for durable medical equipment (DME), such as walkers, wheelchairs, oxygen, referral to Case Management, Diabetes Educator, Social Work Service agencies, family counseling, Home Health Care (HHC) and Community Health.
Monitors trends in LOS to identify processes which extend LOS beyond community standards, to ensure facility is aware of trends and to repair processes, when possible, to expedite safe timely discharges.
Coordinates with third party payers, as well as TRICARE Managed Care Support Contractor (MCSC), to provide requisite clinical information to accomplish authorization for post-discharge needs, within the plan’s benefit.
Validates the beneficiary’s insurance plan/benefit allowance and when possible, ensures the insurance plan is considered by the provider when making referrals for DME/medications/inpatient transfers etc.
Provides on-going education to patients, providers, and staff related to discharge planning/inpatient transfers.
Ensures the facility staff provides instructions to patient/significant other and/or family members for post-discharge care, self-care/maintaining healthy lifestyles, appropriate use of medical services and other needs, as indicated.
Designs services to meet educational needs of the targeted.
Emphasizes the preventive, curative, and restorative aspects of instructions.
Educates patient/family on topics beyond the benefit, but appropriate for specific circumstances, such as nursing home placement, group home placement and the.
Teaches medical students, Residents, Hospital Attending Physicians, novice nurses and other health and allied health personnel about the considerations impacting the discharge planning/inpatient transfer processes.
Participates in the orientation and training of newly assigned personnel, as.
Establishes and maintains good interpersonal relationships with co- workers, families, peers, and other health team members.
Effectively communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
Perform accurate documentation, both written and electronic, of all activity in accordance with requirements.
Contributes to professional environment using appropriate leadership.
May be required to work various shifts or augment clinical nursing support within the Medical Management Department during the absence of other team nurses due to illness, leave or deployment.
Ensures a safe work environment, employee safe work habits and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives.
Maintain productivity and perform with minimal supervisory direction.