MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS
The primary job duties this position is responsible for achieving are listed in order of importance.
Job Summary:
To facilitate a safe discharge and/or transition of care for patients from hospital, lower level of care or to the community.
- Initiates the discharge planning process, works with patient, family, responsible party and/or conservator.
- Collaborates and rounds with Case Managers to discuss discharge plan. Updates regularly on discharge progress
- Works with outside facilities, vendors and providers while following the guidelines set by the insurer, Medicare and Med-iCal
- Coordinates transfer for both higher level of care, and discharge to a lower level of care
- Attends multidisciplinary rounding
- Initiate referrals and arranges post-discharge services
- DME, SNF, HH including: physical therapy, safety evaluation, wound care, dialysis, and IV infusion
- Completes and documents Patient Choice Form per CMS regulation on all Home Health and SNF placements for all Medicare products
- Supply family with any additional requested resources i.e. Caregivers, Board and Care, or Assisted Living (ALF)
- Assists with discharge transportation
- Ensures that the patient, family, responsible party and/or conservator are aware of and in agreement with the DCP
- Collaborates to obtain appropriate authorization from managed health care plans for discharge needs
- Maintains Medi-Cal Administrative Placement Lists for submissions to Medi-Cal
- Understanding of SNF placements and level of care through understanding of Medi-Cal administrative daily process
- Monitors and assists/delivers the Medicare IMM’s (Important Message from Medicare) and the Patient Choice Form.
- Maintain ongoing and consistent communication with nursing, physician, patient, patient representative and case management regarding plan and updates.
- Document all interactions in Paragon
- Escalate any barriers or issues to the Leadership Team as they arise.
- Performs other duties as assigned
JOB QUALIFICATIONS
Minimum Education (Indicate minimum education or degree required.)
- High school Diploma or equivalent
Preferred Education (Indicate preferred education or degree required.)
- Bachelor’s Degree preferred
- College courses in Business Administration and/or Healthcare Administration preferred.
Minimum Work Experience and Qualifications (Indicate minimum years of job experience, skills or abilities required for the job.)
- Ability to communicate effectively verbally and in writing.
- Must be able to work in a union environment.
Preferred Work Experience and Qualifications (Indicate preferred years of job experience, skills or abilities required for the job.)
Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.)
- Current Los Angeles County Fire Card required (within 30 days of employment).
- Assault Response Competency (ARC) required (within 30 days of hire).
