MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONSÂ |
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The primary job duties this position is responsible for achieving are listed in order of importance. |
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Job Summary:Â 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
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JOB QUALIFICATIONS |
Minimum Education (Indicate minimum education or degree required.) |
- High school Diploma or equivalent
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Preferred Education (Indicate preferred education or degree required.) |
- Bachelor’s Degree preferred
- College courses in Business Administration and/or Healthcare Administration preferred.
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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.
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Preferred Work Experience and Qualifications (Indicate preferred years of job experience, skills or abilities required for the job.) |
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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).
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