Discharge Planner - SMRMC Social Work Services

Saint Mary's Regional Medical Center; Reno (NV); On-site; USD 55,000 - 75,000; Full time

Job summary

Saint Mary’s Health Network, part of Prime Healthcare, seeks a dedicated Case Management professional to coordinate discharge planning and related activities. You will support referrals, authorizations, and Medicaid submissions while helping develop safe, patient-centered discharge plans.

The role requires strong knowledge of discharge planning and utilization management, with basic computer skills and a high school diploma. Hospital experience is preferred.

Qualifications

• Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
• Experience in basic to intermediate computer skills/knowledge.
• High School Diploma required.

Responsibilities

• Coordinate activities of the Case Management Department under the direction of the Case Manager/Social Worker.
• Assist with development and implementations of discharge plans.
• Assist with case management referrals and authorizations.
• Maintain Medicaid state submission forms for presentation to on-site reviewer and file as required.
• Assist with Discharge Planning by interviewing patients/families and gathering data for safe patient-focused plans.

Skills

Discharge Planning terminology

Utilization Management terminology

Case Management terminology

Basic computer skills

Education

High School Diploma

Associates degree or LVN license preferred

Tools

MS Office

Job description

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Mary’s Health Network, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

As a long-standing community partner with a 116-year history, Saint Mary’s Health Network offers Northern Nevada inpatient, outpatient, ancillary, and wellness services. Nationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America’s Best 250 hospitals by Healthgrades, Saint Mary’s Regional Medical Center is a 352-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. The health system, a member of Prime Healthcare, also operates a fully-integrated Medical Group, multiple urgent care clinics, freestanding imaging, lab, and primary care clinics. For more information, visit www.SaintMarysReno.com.

Responsibilities

Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist with development and implementations of discharge plans. Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility’s procedure. Assists with Discharge Planning as assigned by interviewing patients/families and gathering data to develop a safe patient-focused Discharge Plan.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

• Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
• Experience in basic to intermediate computer skills/knowledge.
• High School Diploma required.

Preferred qualifications:

• Current BCLS certificate required upon hire and maintain current preferred.
• Associates degree or LVN license preferred.
• Experience in the hospital setting preferred.

Employment Status

Full Time

Shift

Variable

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf