Discharge Planner - Home Care coordinates the movement of patients between a hospital or skilled nursing facility and a home care or hospice arrangement. Reviews the patient's case and determines the best choice in services and facility to meet the medical and social needs of the patient. Being a Discharge Planner - Home Care ensures a safe transfer to a setting that meets the patient's needs and coordinates necessary services and staff required to complete the transfer. May require a bachelor's degree. Additionally, Discharge Planner - Home Care typically reports to a supervisor or manager. The Discharge Planner - Home Care gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Discharge Planner - Home Care typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Position Title: Care Transition Coordinator
Department: Primary
Reports To: Treatment Director
Supervises: N/A
Entry Level Qualifications:
Bachelor’s Degree in Social or Behavioral Sciences related fields or equivalent combination of education and work experience. At least two (2) years of residential or outpatient healthcare experience required; must possess the ability of high level interdepartmental communication skills and knowledge of administrative work. Knowledge of outside facilities and programs related to substance abuse and mental health; knowledge of healthcare marketing preferred.
1. Must be able to stand occasionally.
2. Must be able to walk frequently.
3. Must be able to sit constantly.
4. Must be able to see, hear, and speak constantly and frequently.
5. Must be able to type and write constantly.
6. If recovering, must have at least 2 years of verifiable abstinence.
General Responsibilities:
Communicating and coordinating information from outside referral sources to appropriate staff and the ability to judge what information should be passed on to the appropriate staff. Documentation and coordination of the patient’s medical chart related to referral sources and discharge planning. Planning and coordinating services appropriate to achieve the goal of the patient’s discharge recommendations and ensuring that the appropriate care is attainable. Observing and documenting patient admission information in regards to communication with staff, referral sources, and tracking purposes. Communicating patient discharge recommendations with their assigned regional offices. Vivitrol prescription registration and ordering process for recommended patients. Monitoring and communicating utilization review information about patient’s treatment stay to the appropriate staff.
Know and abide by the general provisions of 42 CFR Part 2, “Confidentiality of Alcohol and Drug Abuse Patient Records”; and 45 CFR “Health Insurance Portability and Accountability Act”. This position has unrestricted access to patient health information.
Essential
Functions:
1. Must be able to contact a patient’s referral source(s) and relay necessary information to the appropriate staff members in an appropriate amount of time.
2. Must be able to transfer requested documents to the referral source(s) and facilities relating to discharge recommendations in an appropriate amount of time and monitor the completion of those documents by staff within the time frame established by the Treatment Director.
3. Must be able to communicate discharge recommendations and coordinate them with the patient or appropriate staff in an appropriate amount of time.
4. Must be able to coordinate the transfer of a patient to an outside level of care pertaining to his discharge recommendations.
5. Must be able to relay information to the appropriate Bradford Regional Offices, relating to the patient’s discharge recommendations in an appropriate amount of time.
6. Must be able to document admission information for all non-healthcare patients (admission date, referral sources, regional offices, etc).
7. Must be able to register and order Vivitrol prescriptions for recommended patients and transfer this information to the appropriate Bradford Regional Offices or outside facilities after discharge.
8. Must be able to use office equipment and technology (SmartCare, MicroSoft Office,email, fax machines, scanners, copiers, phones, reading medical charts, etc.) pertaining to the above tasks.
9. Must be able to work in a constant state of alertness as to perform the job safely.
10. Must be able to work in cooperative manner with co-workers, managers, clients, and prospective clients.
11. Must maintain a professional demeanor and appearance, must not appear impaired or disoriented, but rather must present coherent and articulate speech, kept appearance, alert, oriented, and responsive to patients’ needs and concerns.
12. Regular attendance.
13. Other duties as assigned.
08/20/2020
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