POSITION TITLE: Discharge Specialist, Patient Services
DEPARTMENT: Care Management
SUPERVISOR'S TITLE: Clinical Manager, Care Management
TOTAL NUMBER OF FTEs DIRECTLY SUPERVISED: 0
TOTAL NUMBER OF FTEs INDIRECTLY SUPERVISED: 0
PURPOSE OF POSITION: The Discharge Specialist's primary responsibilities are to perform selected services and functions related to patient care coordination, utilization review, discharge planning, and data collection for the inpatient Care Management Program under the direction of the Care Manager or Clinical RN. This includes communicating with third party review organizations, ordering discharge equipment and services, arranging patient transportation and community services. This job description documents the general nature and level of work but is not intended to be a comprehensive list of all activities, duties, and responsibilities. Job incumbents may be asked to perform other duties as required.
·Home Health Services Administration
Arranges ambulance or medical transportation. Provides support to the discharge coordination process. Obtain, send and fax patient information to external agencies following hospital policy related confidentiality. Prepares memos, letters and other documents including letters of medical necessity. Assists with scheduling of meetings including patient care conferences. Assist patient/family with specialty appointments as directed by care manager or clinical RN. Completes follow up calls to clients and their care providers at the request of the care manager or clinical RN. Able to elicit information during follow up calls and understands when to have care manager intervene. Documents accurately and promptly in the EMR. Communicates barriers in progress towards achieving patient goals with the care manager or clinical RN.
·Insurance Verification and Administration
Assists family with selection process for home services covered by family payer(s) as delegated by care manager or clinical RN. Obtains authorizations and benefits for post discharge services and documents in EMR. Follows through with verification for insurance coverage, authorized days and benefits as directed by the care manager or clinical RN.
Participate with team members in quality improvement activities. Demonstrate customer focused interpersonal skills, utilizing problem solving and unique family needs and dynamics. Demonstrate family centered care in care team communications, rounds and meetings.
Demonstrate professional communication and conflict management skills. Pursue continuous learning opportunities.
·Data Entry & Reporting
Assists in maintaining supportive data bases at the direction of the manager of hospital care managers.
Skills & Competencies
Proficient in operation of scanners, copiers, and fax machines
Effective verbal and written communication skills
Effective interpersonal and customer focus
Self-Directed as well as demonstrated ability to work within a team
Detail oriented and effective follow through
·High School Graduate OR Equivalent
·1 year experience in a healthcare system Preferred:
·Proficiency in basic computer applications like Microsoft Office, Excel, email & internet
·Knowledge of medical terminology