Discharge Planner LPN: Care Transitions Specialist

Millennium Physician Group; Oregon; Hybrid; USD 56.000 - 83.000; Vollzeit

Benefits dieser Stelle

3 weeks PTO

8 paid holidays

Medical, Dental, Vision

Employer Paid Basic Life & Short Term

401(k) with match

Employee Wellness

Tickets at Work discounts

Dependent Care FSA

Voluntary Life

Long Term Disability

Zusammenfassung

Millennium Physician Group is seeking a Discharge Planner to coordinate discharge planning and care transitions for hospitalized patients at Collier County facilities. You will assess needs, develop individualized plans, and work with physicians, nurses, case managers, patients, families, and community providers to arrange safe post-acute services.

Responsibilities include patient education, documenting in the EHR, monitoring timelines, and participating in rounds and quality initiatives to

Qualifikationen

• Active RN license or LPN license; social worker preferred.
• Experience in discharge planning and care transitions.
• Ability to coordinate with physicians, nurses, case managers, and families.

Aufgaben

• Assess discharge planning needs via records, interviews, and environment.
• Develop individualized discharge plans aligned with orders and payer needs.
• Coordinate with hospitalists, nurses, case managers, and others for safe discharges.
• Arrange post-acute services (home health, SNF, rehab, DME, hospice).
• Educate patients and caregivers on instructions and follow-up.
• Identify barriers to discharge and coordinate interventions.
• Communicate with PCPs, specialists, post-acute providers, payers.
• Document assessments and plans in the EHR per standards.
• Monitor timelines and metrics related to LOS and readmissions.
• Participate in rounds and quality initiatives to improve processes.

Kenntnisse

Discharge planning

Care coordination

Interdisciplinary collaboration

Patient education

Ausbildung

Registered Nurse (RN)

Licensed Practical Nurse (LPN)

Social Worker

Tools

Electronic Health Records (EHR)

Jobbeschreibung

Millennium Physician Group is seeking a Discharge Planner to coordinate discharge planning and care transitions for hospitalized patients at Collier County facilities. You will assess needs, develop individualized plans, and work with physicians, nurses, case managers, patients, families, and community providers to arrange safe post-acute services.

Responsibilities include patient education, documenting in the EHR, monitoring timelines, and participating in rounds and quality initiatives to