Major Responsibilities/Essential Functions
The primary job duties this position is responsible for achieving are listed in order of importance.
Job Summary
To facilitate a safe discharge and/or transition of care for patients from hospital, lower level of care or to the community.
- Initiates the discharge planning process, works with patient, family, responsible party and/or conservator.
- Collaborates and rounds with Case Managers to discuss discharge plan. Updates regularly on discharge progress.
- Works with outside facilities, vendors and providers while following the guidelines set by the insurer, Medicare and Medi-Cal.
- Coordinates transfer for both higher level of care, and discharge to a lower level of care.
- Attends multidisciplinary rounding.
- Initiate referrals and arranges post-discharge services.
- DME, SNF, HH including: physical therapy, safety evaluation, wound care, dialysis, and IV infusion.
- Completes and documents Patient Choice Form per CMS regulation on all Home Health and SNF placements for all Medicare products.
- Supply family with any additional requested resources i.e. Caregivers, Board and Care, or Assisted Living (ALF).
- Assists with discharge transportation.
- Ensures that the patient, family, responsible party and/or conservator are aware of and in agreement with the DCP.
- Collaborates to obtain appropriate authorization from managed health care plans for discharge needs.
- Maintains Medi-Cal Administrative Placement Lists for submissions to Medi-Cal.
- Understanding of SNF placements and level of care through understanding of Medi-Cal administrative daily process.
- Monitors and assists/delivers the Medicare IMM’s (Important Message from Medicare) and the Patient Choice Form.
- Maintain ongoing and consistent communication with nursing, physician, patient, patient representative and case management regarding plan and updates.
- Document all interactions in Paragon.
- Escalate any barriers or issues to the Leadership Team as they arise.
- Performs other duties as assigned.
Job Qualifications
Minimum Education
- High school Diploma or equivalent
Preferred Education
- Bachelor’s Degree preferred
- College courses in Business Administration and/or Healthcare Administration preferred.
Minimum Work Experience and Qualifications
- Ability to communicate effectively verbally and in writing.
- Must be able to work in a union environment.
Preferred Work Experience and Qualifications
Required Licensure, Certification, Registration or Designation
- Current Los Angeles County Fire Card required (within 30 days of employment).
- Assault Response Competency (ARC) required (within 30 days of hire).
Shift
Varied
Shift Hours
Varied
Weekly Hours
40
Type/Status
Full-Time
FTE
1.0