| Location | Los Angeles, CA |
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 • 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 DCPC
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: High school Diploma or equivalent
Preferred Education: Bachelor's Degree preferred College courses in Business Administration and/or Healthcare Administration preferred
Minimum Work Experience and Qualifications: Ability to communicate effectively verbally and in writing. Must be able to work in a union environment.
Preferred Work Experience and Qualifications: N/A
Required Licensure, Certification, Registration or Designation: Current Los Angeles County Fire Card required (within 30 days of employment). Assault Response Competency (ARC) required (within 30 days of hire).
Job Details: Shift: Varied Shift Hours: Varied Weekly Hours: 40 Type/Status: Full-Time FTE: 1.0