LVN Discharge Planner, Care Management, Full time, Days

PIH Health; Whittier (CA); On-site; USD 39,000 - 55,000; Full time

Job summary

PIH Health is seeking an LVN Discharge Planner to provide discharge planning by determining level of care needs beyond acute care and offering decision support to patients, families, and physicians. The role includes managing expectations and ensuring smooth transitions to the next level of care and services.

Responsibilities include utilization review to demonstrate medical necessity for reimbursement and proper utilization of hospital resources.

Qualifications

• Maintain an active California LVN license.
• Minimum of 2 years’ acute hospital experience or two years care management experience.
• Proficiency with main-frame and personal computers.
• Knowledge of medical terminology and current third-party payer reimbursement methodologies.

Responsibilities

• Provide discharge planning and collaboratively determine level of care needs beyond acute care.
• Provide decision support to patients, families, and physicians.
• Manage patient and family expectations and ensure a smooth transition to the next level of care.
• Perform utilization review to demonstrate medical necessity for reimbursement and appropriate utilization of hospital resources.

Skills

Verbal communication

Written communication

Organizational skills

Prioritization

Decision making

Medical terminology

Follow chain of command

Self-motivation

Education

California LVN license

Tools

Mainframe

Personal computers

Job description

The LVN Discharge Planner provides discharge planning by collaboratively determining level of care needs beyond acute care, providing decision support to patients and families and physicians, managing patient and family expectations and ensuring a smooth transition to the next level of care and services. The LVN Discharge Planner performs utilization review by using criteria that demonstrates medical necessity to achieve reimbursement for services and ensuring appropriate utilization of hospital resources.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram .

Required Skills

• Excellent verbal, written and organizational skills required
• Able to prioritize and delegate work appropriately.
• Ability to follow chain of command.
• Knowledge of medical terminology and current third-party payer reimbursement methodologies
• Self-motivated and results oriented.
• Must be able to demonstrate sound decision-making and prioritization of skills.
• Utilizes the approved process to resolve biophysical, psychological, educational and environmental needs of patient/significant others when administering or explaining care.

Required Experience

Required:

• Maintain an active California LVN license.
• Minimum of 2 years’ acute hospital experience or two years care management experience
• Proficiency with main-frame and personal computers.

Preferred: