p>Accountability / Responsibility: • Develops and effectively utilizes a network of information regarding community resources • Coordinates the discharge planning process in collaboration with social workers and/or other professional members of the interdisciplinary team • Appropriately delegates within the scope of practice discharge planning activities / functions and supervises others involved with discharge planning including LPNs, Case Management Coordinators or other non-licensed personnel performing discharge planning activities • Identifies the appropriate post hospitalization care and services required • Develops post hospital plan of care with the patient and / or family, physician and external resources • Communicates and documents discharge planning needs • Initiates appropriate and timely social services, palliative care or other specialty referrals • Provides necessary patient teaching relevant to discharge needs, post hospital care arrangements prior to discharge • Assesses the patient prior to discharge to determine if the plan is appropriate and makes necessary revisions • Keeps the interdisciplinary care team informed re: details of the discharge plan including printing updated Midas notes and placing on chart • Communicates essential information to the next care provider as described in the hospital discharge planning policy • Educates patient regarding their Medicare appeal rights and initiates the Detailed Notice of Discharge (DND) when the patient decides to appeal their discharge • Contacts the Quality Improvement Organization (QIO) per established protocol detailed in the Hospital Issued Notice of Non-Coverate (HINN).
• Education: Bachelor of Science in Nursing • Experience: 3-5 years experience in acute care hospital Case Management, Utilization Management and Discharge Planning and 1 year hospital supervisory experience • Public speaking and adult education experience preferred • Certification/Registrations: Certified Case Manager, CCM or Accredited Case Manager, ACM.