Discharge Planner LPN - Care Transitions & Post-Acute Support

Millennium Physician Group; Naples (FL); On-site; USD 56,000 - 83,000; Full time

Benefits offered by this job

3 weeks PTO

8 paid holidays

Medical, Dental, Vision

Employer Paid Basic Life & Short Term

401(k) with match

Employee Wellness

Discount programs

Job summary

Millennium Physician Group in Collier County, FL is seeking a Discharge Planner to coordinate discharge planning for hospitalized patients within the Hospitalist program. This role assesses needs, collaborates with physicians, nurses, case managers, patients, families, and community providers to promote safe, timely transitions from the hospital.

You will arrange post-acute services, educate patients and caregivers, identify barriers to discharge, and ensure regulatory compliance.

Qualifications

• Assess discharge planning needs through review of medical records, interviews, and evaluation of psychosocial and environmental factors.
• Develop and coordinate individualized discharge plans aligning with physician orders and payer requirements.
• Coordinate with hospitalists, nurses, case managers, therapists, social workers, and post-acute providers to ensure timely, safe discharges.
• Arrange post-acute services including home health, SNFs, rehab, equipment, hospice, and transportation.
• Educate patients and caregivers on discharge instructions, medications, follow-up, and disease management.
• Identify barriers to discharge such as insurance delays, transportation, housing, or social determinants of health.
• Communicate with providers, payers, and post-acute partners to reduce readmissions.
• Document assessments and plans in the EHR per standards and regulatory requirements.

Responsibilities

• Assess patients' discharge planning needs through medical records and interviews and evaluate factors affecting post-discharge care.
• Develop and coordinate individualized discharge plans aligned with physician orders and payer requirements.
• Coordinate with hospital teams to ensure timely, safe, and effective patient discharges.
• Arrange post-acute services and educate patients/caregivers on discharge plans and follow-up.

Job description

Millennium Physician Group in Collier County, FL is seeking a Discharge Planner to coordinate discharge planning for hospitalized patients within the Hospitalist program. This role assesses needs, collaborates with physicians, nurses, case managers, patients, families, and community providers to promote safe, timely transitions from the hospital.

You will arrange post-acute services, educate patients and caregivers, identify barriers to discharge, and ensure regulatory compliance.