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Marycrest – Discharge Nurse Coordinator RN/LPN

Trinity Health Senior Living Communities

This is a Contract position in Livonia, MI posted May 24, 2019.

Job Summary Provides, coordinates and facilitates patient discharge planning in collaboration with clinical interdisciplinary team.

Assist with organizing services across provider lines, between people, and systems to affect optimal patient outcomes, achieve continuity of care and reduce costs.

Serve as a utilization management resource to determine appropriateness of admission, level of care and continued stay.

Essential Functions Promote the mission, vision, and values of the organization.

Collaborates with physicians, caregivers, patient, family, other departmental team members, and payor to proactively develop and implement a safe and appropriate discharge plan.

Participates in team meetings that foster interdepartmental collaboration with the patient and their family as deemed necessary, this includes multidisciplinary meetings and Utilization Review/Case Management meetings.

Provides input in such meetings regarding utilization management and discharge planning.

Assess and document the appropriateness of admission, continued stay, level of care, and readiness for discharge; refers cases that do not meet criteria to Interdisciplinary Team.

Maintains working knowledge of Medicare, Medicaid and private insurance company coverage for referred products and services.

Communicate daily with admissions personnel regarding admissions and discharges.

Ensures that a quality of care is maintained or surpassed by collecting quality indicators and variance data and reporting the data to the appropriate department; reports and identifies data that indicates potential areas for improvement of care and services provided within the system.

Knowledgeable of patient’s financial status, diagnosis and discharge needs and documents these as an ongoing review.

Assist as needed with obtaining referrals, prior authorization for Home Health Care, acute rehab and appointments.

Maintains a current list of resources for referrals and refers to the appropriate inpatient, outpatient and community resources.

Participate in and complete discharge assessments, complete follow up phone calls in a timely manner and provide referrals/ data according to the patient’s needs.

Qualifications Current nurse licensure in the state of Mexico Three to five years’ experience in discharge planning is highly desirable.