Virginia JobsAn official website of the Commonwealth of Virginia Here's how you knowAn official websiteHere's how you know

Virginia Mountain View

    Discharge Planner

    • R0064100
    • Charlottesville, Virginia, United States, 22904
    • Allied Health - Technicians & Professionals
    • University of Virginia
    In support of patient progression practice, provides patient/family focused interventions to support timely discharge outcomes. Facilitates the pace of the case for real time completion of concrete interventions identified in the discharge plan. Using a variety of modalities carries out discharge plan recommendations for the alleviation or resolution of social financial and emotional problems related to illness, healthcare and rehabilitation allowing a timely transition of a patient from the hospital to the most appropriate next level of care.

    Activities include such things as preparing information to facilitate a patient’s discharge/transfer, arranging equipment and transportation, and discussing plans with the patient and family. Documents her/his work in the patients’ medical record per department requirements.

    • Identifies patient and/or families requiring coordination of continuing care or community support through collaboration with case managers, social workers and other members of the care team. Reviews medical records, attends rounds, and responds to patients needs. Assists the case manager and/or social worker with implementing continuing care plans. Applies knowledge based on professional experience.
    • Under the direction of a Case Manager and/or Social Worker assists in the facilitation of an appropriate discharge for her/his patients in accordance with the patient’s medical readiness and expected needs. Assists in coordinating a patients discharge/transition to settings such as skilled nursing homes, home with home health, patients with medical equipment, etc.
    • Prepares the patient and/or family for discharge by providing an explanation of the plan and what the patient/family can expect.
    • When needed for a safe, expeditious, effective discharge engages other members of the care team to have the patients/families questions answered, and assures there is adequate resolution.
    • Assures that a discharge is facilitated in accordance with regulatory requirements, patient/family choice, financial resources, and third party payer requirements.
    • Places referrals to multiple agencies reflecting the recommended level of care from the Care Management team.
    • Assists with a safe and effective handover to the next level of care by working closely with both hospital staff and external agency liaisons and care navigators.
    • Complete screenings for patients regarding financial, psychosocial, physical, and medical needs to determine long term care service supports
    • Coordinate with outside agencies and community members to ensure continuity of services after an LTSS (UAI) screening has been completed
    • Determine financial supports and referring patients/family members to local DSS or inpatient social workers to complete Medicaid applications or financial screenings
    • Assess mental health needs prior to patients discharging to skilled nursing facilities to ensure appropriate services at time of discharge (understanding the need for a Level II PASRR report)
    • Documents his/her work in the medical record, meeting the requirements of the organization and department. Submits reports as required by management on things such as productivity, patient progression barriers or other focused studies.
    • Enhances the quality of patient care by complying with policies, procedures and the quality measures of the hospital and department. Identifies and reports any problems, conflicts, trends, or other potential issues to appropriate administrative staff.
    • In addition to the above job responsibilities, other duties may be assigned.
    Position Compensation Range: $22.39 - $35.82 Hourly

    MINIMUM REQUIREMENTS

    Education: Bachelor's degree required, Bachelors of Social Work preferred.
    Experience: One year in healthcare or similar setting, hospital setting preferred
    Licensure: None

    PHYSICAL DEMANDS

    Job requires sitting for prolonged periods, standing/traveling or use of assistive and climbing (stairs, steps). Proficient communicative, auditory and visual skills; Attention to detail, hear, speak, see, distinguish colors, read, ability to write legibly; Ability to lift/push/pull < 20lbs. May be exposed to chemicals, blood/body fluids and infectious disease.

    The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Click here to read more about UVA’s commitment to non-discrimination and equal opportunity employment.

     

    Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. Equal Opportunity Employer

    Sign up for job alerts

    Charlottesville, Virginia, United States
    University of Virginia

    Not You?

    Thank you

    Share this job

    Not You?

    Thank you for sharing this job

    Similar Jobs

    Medical Case Manager, HIV/AIDS

    University of Virginia R0073376 Charlottesville Virginia United States Charlottesville, Virginia, United States, 22904 Administrative Support
    The Medical Case Manager will work closely with clients living with HIV/AIDS who have multiple psychosocial and/or health related needs. Medical Case Management services is a strength- based approach to service that includes treatment adherence co...

    Certified Medical Assistant (CMA) - Pantops Primary & Specialty Care

    University of Virginia R0073714 Charlottesville Virginia United States Charlottesville, Virginia, United States, 22904 Clinical Support
    Medical Assistants provide clinical support, assist with administrative tasks, and provide general support in an ambulatory setting under the direction or supervision of the patient’s physician or LIP/RN designee in accordance with policy, proced...

    Respiratory Therapist, Internal Traveler Program

    University of Virginia R0074206 Charlottesville Virginia United States Charlottesville, Virginia, United States, 22904 Allied Health - Technicians & Professionals
    Healthcare professionals at UVA Health are valued team members contributing to an academic health system with a world-class academic medical center including a level 1 trauma center, an NCI-designated Comprehensive Cancer Center, and UVA Children’...

    Registered Nurse (RN) - Operating Room (OR) Main Hospital

    University of Virginia R0074212 Charlottesville Virginia United States Charlottesville, Virginia, United States, 22904 Nursing
    **Join UVA Health's Main Operating Room Team** Are you ready to be part of a world-class healthcare institution dedicated to excellence? UVA Health, a Magnet Recognized academic medical center and health system, invites you to explore exciting op...

    Registered Nurse (RN) - Adult Critical Care Float Pool

    University of Virginia R0074210 Charlottesville Virginia United States Charlottesville, Virginia, United States, 22904 Nursing
    Capable clinician, focused on expanding knowledge and skills. Consistently provides effective direct care, as part of the interdisciplinary team, to a variety of complex patients. Manages care and implements treatment plans at a refined skill leve...

    Certified Medical Assistant (CMA) (Wage) - OBGYN

    University of Virginia R0072219 Charlottesville Virginia United States Charlottesville, Virginia, United States, 22904 Clinical Support
    Medical Assistants provide clinical support, assist with administrative tasks, and provide general support in an ambulatory setting under the direction or supervision of the patient’s physician or LIP/RN designee in accordance with policy, procedu...

    Apply Now

    Not You?

    Thank you

    Please choose a agency