Discharge Planner- LPN
- FirstHealth of the Carolinas
- Pinehurst, NC, USA
Job Description
Licensed Practical Nurse with experience in medical/surgical, critical care and/or hospice, home health or public health required.
Assesses the health status of patients referred for discharge planning within one business day of consult utilizing in-depth information about a patient's situation from History and Physical and patient assessment to develop a case management plan with goals and interventions. Reviews all tasks daily for follow up of assignment. Coordinates and Prioritizes discharges daily in timely manner. Makes daily patient/family rounds maintaining communication with all members of healthcare team. Promotes a timely, cost-effective, efficient, and safe discharge plan to community services including long-term care, home health services, etc. On a concurrent basis assesses appropriateness of discharge disposition and communicates any changes in plan/needs with appropriate resources. Develops, implements, and manages processes for referrals to Home Health, HME, SNF, and other agencies/facilities. Collaborates with: Medial Staff, admitting office, HIM, patient accounts, and patient care departments to ensure effective and efficient communication of efforts and activities. Assists with development and implementation of clinical paths and variance tracking if applicable. Tracks avoidable days and adverse advents on all patients. Assists staff in clinical decision-making and priority setting to ensure an optimal length of stay. Initiates Guardianship/Adult Protective Service/Child Protective Service referrals when appropriate and communicates with all necessary disciplines and agencies.Utilizes approved departmental communication tools for documentation. (Canopy/Providerlink) Maintains active participation and membership in service lines and assists with patient education classes as requested. Acts as Liaison for interdisciplinary communication and coordination of discharge plan.
Collaborates with nursing staff, Utilization Review Nurses, other Discharge Planning Coordinators, ancillary staff, Hospitalists team and physicians to identify patient/family educational needs. Is accountable for identifying own learning needs and seeking sources of information. Communicates with Physicians, patients/families to ensure understanding of third party payor guidelines. Utilizes critical thinking and problem solving techniques.
Is able to work independently, exercising sound judgment, discretion, and initiative to facilitate change.
FirstHealth of the Carolinas, a private, not-for-profit health care network, is headquartered in Pinehurst, NC. Its more than 5,000 employees serve 15 counties in the mid-Carolinas. Licensed for five hospitals with 610 beds and also including facilities for inpatient and outpatient rehabilitation, a hospice, a home care program, community outreach programs, behavioral services, fitness facilities, primary and convenient care practices, a hospitality house, EMS and critical care transport services, a non-profit insurance plan, a philanthropic foundation and a host of other services, FirstHealth demonstrates a commitment to treating the whole patient and to providing quality health care for the entire community – especially those in need.
Moore Regional Hospital, FirstHealth’s flagship hospital, is an acute-care facility with 402 licensed beds. With a broad spectrum of specialties and a full range of health care services, Moore Regional continues to refine its knowledge of the most advanced technology – all for the patients it serves. Moore Regional Hospital is accredited by the Joint Commission and boasts award-winning, quality care. Moore Regional Hospital recognized as one of the nation’s Top 100 hospitals and a Top 50 cardiovascular hospital by Truven Health Analytics.
FirstHealth Montgomery Memorial Hospital has served the emergency, outpatient and acute care needs of the people of Montgomery County and the surrounding area for more than 50 years. Montgomery Memorial provides acute care for both medical and surgical patients, outpatient surgical services, imaging and other diagnostic services as well as an emergency department that is staffed with 24-hour in-house physician coverage.
A 99-bed community hospital, FirstHealth Richmond Memorial Hospital-A Division of Moore Regional Hospital, serves the emergency, inpatient, outpatient and acute-care needs of the people of Richmond County and the surrounding area. The hospital first opened in 1952 and was originally certified for 50 beds. Richmond Memorial offers medical and surgical hospital services as well as unique specialized services including ophthalmology services, cardiology services, and a Wound Care and Hyperbaric Center. Richmond Memorial Hospital joined the FirstHealth of the Carolinas family on March 1, 2001, and became a division of Moore Regional Hospital in August 2009.
FirstHealth Moore Regional Hospital-Hoke Campus opened its doors to patients on October 7, 2013, as the first hospital in Hoke County. The opening was a historic event for a county long acknowledged as one of the largest in the state without its own hospital. The hospital is anchored by a 24/7 emergency department. A quarter of the hospital houses an Imaging suite offering in-house services ranging from general X-ray to low-dose CT and nuclear medicine as well as the availability of mobile MRI.