Discharge Planner/RN

Regional One Health; Memphis (IN); On-site; USD 65,000 - 90,000; Full time

Job summary

Regional One Health in the United States is seeking a qualified discharge planner to coordinate patient-centered discharge planning across the care team. The role emphasizes seamless collaboration with patients, families, and providers to ensure timely, cost-effective transitions from hospital to next care settings.

The position requires RN licensure in TN, a nursing program degree, CCM/ACM within 2 years, and 2+ years of clinical nursing experience in acute or managed care environments, with

Qualifications

• Graduate of an approved Nursing program.
• Registered Nurse licensure to work in the state of TN.
• CCM or ACM Certification within 2 years of hire.
• Minimum 2 years experience clinical nursing in an acute care hospital, ambulatory care setting and/or managed care organization.
• At least 1 year experience Case Management experience preferred.

Responsibilities

• Perform discharge planning with patient/family and care team to identify needs and barriers, outlining responsibilities for each level.
• Coordinate across provider lines and systems to affect optimal patient outcomes, continuity of care, and reduce costs.
• Participate in SNAPS huddles and multidisciplinary rounds, guiding the care team toward timely discharge.
• Provide leadership and education on status, placement, payor requirements, and utilization of resources.
• Prepare/Review forms and obtain necessary authorizations/signatures to facilitate patient care and discharge.
• Utilize Care Logistics modules to manage anticipated, pended, and ready discharges.

Skills

Discharge planning

Interdisciplinary coordination

Clinical nursing

Communication

Education

Nursing program graduate

Job description

A Brief Overview

Provides, coordinates, and implements proactive patient centered discharge planning in coordination with patient/family, providers, and members of the multidisciplinary team. Assist with organizing services across provider lines and systems to affect optimal patient outcomes, continuity of care, and reduce cost.

A Brief Overview

Provides, coordinates, and implements proactive patient centered discharge planning in coordination with patient/family, providers, and members of the multidisciplinary team. Assist with organizing services across provider lines and systems to affect optimal patient outcomes, continuity of care, and reduce cost.

What You Will Do

• Patient Progression:
• Perform high level assessments to identify discharge needs and barriers for complex patients. Determine details of simple versus complex discharge; outline clear responsibilities for each level.
• Proactively identifies and removes barriers that impede the progress of care.
• Provides on-going assessment/communication with patient/family and interdisciplinary staff to identify and resolve potential barriers to discharge. Keeps patient/family informed of care plan. Update white boards with discharge planning.
• Participates in daily “Status-Now-Action-Planning” (SNAP) Huddles.
• Participates in multidisciplinary rounding and coordination of services.
• Makes appropriate referrals to the Social Worker.
• Revenue Cycle:
• Facilitates facility-specific discharge appeal process.
• Obtains authorization for post discharge needs.
• Compliance with payor requirement. Post-Acute Placement, Transportation, DME, Home Health, etc.
• Identify potential cases for initiation of notices of non-coverage and advance beneficiary notice.
• Negotiates with payors regarding available options for continued care of the patient.
• Maintains working knowledge of Medicaid, Medicare, and commercial insurance coverage for referred products and services.
• Discharge Coordination:
• Serves as a consultant and educator regarding status, placement, ambulatory care, payor requirements, and utilization of resources.
• Provides leadership to the health care team with an emphasis on coordination of patient care and discharge planning.
• Coordinates patient/family conferences
• Provide/Review forms and ensures proper authorization/certification/signatures to facilitate patient care, including: Authorization/certification for patients undergoing surgery, procedures, or diagnostics. Physician’s signature on applicable documents (i.e. insurance forms, FMLA forms, disability forms, and home health referral). Authorization for outside medical purchased services.
• Proficiently uses modules of the Care Logistics system and assist with management of anticipated, pended, and ready discharges.
• Professionalism:
• Provides clear, concise, timely written documentation and updates information and computer data as required.
• Prepares and maintains required reports, records, and files for operational, administrative, and compliance purposes. Utilizes computer and information systems to enter format and retrieve data, generate statistics, computations, tables, charts, and graphs.
• Maintains professional credentials and education necessary to keep abreast and maintain a current knowledge of clinical/theoretical/case management principles, concepts and techniques, best practices, and current trends. Attends continuing education, staff development, and mandatory programs.
• Participates in staff training and performance improvement activities and utilizes the results of the quality of care activities to initiate changes in practices. Participates in orientation of medical staff, residents, and students to promote an understanding of the admission, throughput, and discharge process.
• Provides data for research and administrative support for case management operations, special projects, and studies.

Qualifications

Qualifications

• Graduate of an approved Nursing program Required
• Registered Nurse licensure to work in the state of TN Required
• CCM or ACM Certification within 2 years of hire Required
• Minimum 2 years experience Clinical nursing experience in an acute care hospital, ambulatory care setting and/or managed care organization Required
• At least 1 year experience Case Management experience Preferred

Physical Demands

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Constantly
• Lifting - Rarely
• Carrying - Rarely
• Pushing - Rarely
• Pulling - Rarely
• Climbing - Rarely
• Balancing - Rarely
• Stooping - Rarely
• Kneeling - Rarely
• Crouching - Rarely
• Crawling - Rarely
• Reaching - Rarely
• Handling - Occasionally
• Grasping - Occasionally
• Feeling - Rarely
• Talking - Constantly
• Hearing - Constantly
• Repetitive Motions - Frequently
• Eye/Hand/Foot Coordination - Frequently