discharge planner

ProMedica

<div>Location:
Hickman Hospital
Department:
Care Navigation Acute
Weekly Hours:
40
Status:
Full time
Shift:
Days (United States of America)
Job Summary:<h2 class="jobSectionHeader">
ACCOUNTABILITIES</h2>
*All duties listed below are essential unless noted otherwise*
Task Executor Essential Functions:<ul><li>
Interviews patients and family members to obtain information about home environment, family, relationships, health history and patient&rsquo;s personality and explains patient&rsquo;s background, psycho-social functioning and needs to medical staff and others in participation with planning of a comprehensive care program for patients.</li><li>
Evaluates data gathered in terms of the medical plan of treatment, available social service programs, and plans a pertinent program that will provide each patient with maximum benefit, considering age of patient.</li><li>
Assist patients and families to understand, accept, and follow medical recommendations in terminology they will understand.</li><li>
Regularly works with difficult and complex cases in coordination with the medical team for the purpose case management, discharge planning, and emotional and financial adjustment to illness services.</li><li>
Demonstrates competence, awareness, and sensitivity to the physical, emotional, and psycho-social needs of neonates through geriatric aged patients.</li><li>
Communicates family issues to other staff members involved in the patients&rsquo; care.</li><li>
Participates in planning conferences, as needed. Coordinates discharge rounds, weekly.</li><li>
Collaborates with other hospital programs and community agencies with which patients of various ages and families are involved.</li><li>
Prepares and maintains required documentation on each case.</li><li>
Maintains established departmental policies, procedures, objectives, and safety standards.</li><li>
May guide activities of part-time, student, or other social workers in their management of specific cases.</li><li>
Provide for patient safety in environment and in communication with patients and families.</li><li>
Performs any other job-related duties as assigned.</li></ul>
Process Improver Essential Functions:<ul><li>
Participates in the departmental and institutional goals and objectives relative to quality improvement.</li><li>
Serves on quality improvement teams as requested.</li></ul>
Customer Service Ambassador Essential Functions:<ul><li>
Works collaboratively with all levels and business units of LHA.</li><li>
Serves as a role model for consistent demonstration of and advocacy for LHA&rsquo;s Guiding Principles.</li><li>
Demonstrates knowledge and respects patient, service provider, and organizational confidentiality procedures and protocols.</li><li>
Maintains and protects patient&rsquo;s rights.</li><li>
Represents the system and its entities in fostering positive relationships with other health agencies, organizations, and community groups.</li></ul>
Personal Developer Essential Functions:<ul><li>
Maintains and improves professional and personal learning and development though literature, seminars, workshops, and affiliations.</li><li>
Seeks and accepts education to learn new skill competencies, and maintain current competencies through educational programs, in-services, and meetings.</li></ul><h2 class="jobSectionHeader">
REQUIRED QUALIFICATIONS</h2>
Education: Bachelor&rsquo;s Degree in Social Work, RN, or related discipline.
Skills: Must have sufficient maturity and balance so as not to be upset by often difficult conditions (i.e., emotionally upsetting patients, issues related to death and dying, and issues of counter transference) with which he/she must work. Interpersonal skills for dealing with patients or families, patient health care professionals, and agencies involved with providing services. Physical ability to endure a fast, unpredictable pace, interacting with one person, a group or an agency throughout the hospital, nursing home, physician office campus or in the community. Ability to use critical thinking and problem-solving methods. Ability to understand people and why they behave as they do. Ability to understand the interaction between systems, variability learning, and human behavior. Ability to use computer and compile statistics. Ability to communicate with medical staff, families, and patients both in person and via phone. Handles crisis or emergency situations.
Years of Experience: Minimum 2 years' experience in social services, discharge planning, or relevant field. (At least 1 year for relief position.)
License: N/A
Certification: N/A<h2 class="jobSectionHeader">
PREFERRED QUALIFICATIONS</h2>
Education: Master&rsquo;s Degree
Skills: N/A
Years of Experience: Experience in hospital acute care setting.
License: N/A
Certification: N/A<h2 class="jobSectionHeader">
WORKING CONDITIONS</h2>
Personal Protective Equipment: Use personal protective equipment such as mask, gloves, or gown.
Physical Demands: Frequent standing and walking. Must be able to read and speak the English language. Must be able to see, hear, and move intermittently, or use prosthetics that will enable you to function adequately to assure that the requirements of this position can be fully met. Possible exposure to infectious contagious diseases. Possible exposure to bloodborne pathogens from blood and/or body fluids.
The above list of accountabilities is intended to describe the general nature and level of work performed by the positions; it should not be considered exhaustive.
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or other status protected by applicable law.
Equal Opportunity Employer/Drug-Free Workplace
ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus.
Benefits:
We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It&rsquo;s what makes us one of the best places to work, and helps our employees live and work to their fullest potential.
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org 
Equal Opportunity Employer/Drug-Free Workplace</div>

Social Worker - Discharge Planning - Hickman Hospital - Care Navigation

HiredFirst

<div>Social Worker (LCSW) - Day shift
13 week contract with option to extend. 4 x 10's, Days.
<h3 class="jobSectionHeader">Position Overview</h3>
Job Summary: Provides services to patients and their families to deal with needs incidental to their hospitalization. Provides counseling, support and assistance in making transition plans. Provides direction for routine aspects of non-medical problems of patients and their families. Assists with the planning and post-discharge of patients with outside agencies, nursing staff, and relatives. Job Requirements: Education and Work Experience: Masters Degree in social work: Required in CA. One year experience in an acute or long term medical setting: Required Two years' experience in an acute or long term medical setting: Preferred Essential Functions: Collaborates and facilitates patient discharge plans for those requiring post Hospice or post inpatient care. Assists patient/family/caregiver in determining appropriate level of Hospice care. Refers to outpatient resources as appropriate. Initiates a plan of care and appropriate patient teaching. Reassesses plan of care according to the physical and emotional needs of patient. Develops Plan of Care (POC) based on patient assessment including, psychosocial factors that would impede the POC, clinical knowledge of appropriate theories of stages of human development, the impact of terminal illness, mental status and family dynamics. Performs other job-related duties as assigned.
The LCSW will assess patients&rsquo; psychosocial needs, coordinate discharge planning, and provide crisis intervention and counseling services.<h3 class="jobSectionHeader">
Responsibilities</h3><ul><li>
Conduct psychosocial assessments</li><li>
Develop safe and effective discharge plans</li><li>
Coordinate with case management, nursing, and providers</li><li>
Provide counseling to patients and families</li><li>
Facilitate referrals to community resources</li><li>
Maintain accurate documentation</li></ul><h3 class="jobSectionHeader">
Qualifications</h3><ul><li>
Active California LCSW license required</li><li>
Acute care hospital experience preferred</li><li>
Strong discharge planning experience</li><li>
Knowledge of insurance and community resources</li></ul>
#Workwolf</div>

Social Worker (LCSW)

Humana

<div>
 
 Become a part of our caring community
 
 
 
 The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions Utilization Management team. This team manages post-acute care services. These services include Skilled Nursing Facility (SNF), Home Health, and Durable Medical Equipment (DME). The team's goal is to ensure members receive the appropriate level of care in the most appropriate setting.
 
 
 
 As a Utilization Management Registered Nurse
 
 
 
 <ul>
 <li>
 You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations.
 </li>
 <li>
 Using established medical criteria, you will make determinations based on information provided by the attending physician and other care providers
 </li>
 <li>
 You will complete request determinations within established processing time frames. (i.e. 10 reviews per day?)
 </li>
 <li>
 You will communicate with providers, members, or other parties to facilitate care and treatment.
 </li>
 <li>
 You will help deliver coordinated care for our members
 </li>
 <li>
 You will understand department, segment, and organizational strategy and operating goals, including their linkages to related areas.
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 
 Use your skills to make an impact
 
 
 
 <ul>
 <li>
 Must hold Compact Registered Nurse (RN) license in your state of residence
 </li>
 <li>
 Greater than one year of clinical experience as a RN in a hospital, SNF, Home Health, or acute care setting.
 </li>
 <li>
 Must be passionate about contributing to an organization focused on improving consumer experiences
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Previous experience in utilization management/utilization review for a health plan or acute care setting
 </li>
 <li>
 Basic knowledge of medical necessity criteria such as Milliman Care Guidelines or Interqual.
 </li>
 <li>
 Experience working in a fully remote, metrics-focused role
 </li>
 <li>
 Experience as an MDS Coordinator or discharge planner in an acute care setting
 </li>
 <li>
 Experience as an RN for a Medicare Certified Home Health agency
 </li>
 <li>
 Health Plan or Medicare / Medicaid Experience
 </li>
 <li>
 Call center or triage experience
 </li>
 <li>
 BSN or bachelor's degree in a related field
 
 
 </li>
 </ul>
 Additional Information
 
 
 
 Work-at-Home Information
 
 
 
 To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
 
 
 <ul>
 <li>
 At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
 </li>
 <li>
 Satellite, cellular and microwave connection can be used only if approved by leadership.
 </li>
 <li>
 Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
 </li>
 <li>
 Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
 </li>
 <li>
 Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
 
 
 </li>
 </ul>
 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
 
 
 
 Scheduled Weekly Hours
 
 
 
 40
 
 
 
 Pay Range
 
 
 
 The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
 
 
 $71,100 - $97,800 per year
 
 
 This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
 
 
 
 Description Of Benefits
 
 
 
 Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
 
 
 
 About Us
 
 
 
 About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
 
 
 
 Equal Opportunity Employer
 
 
 
 It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
</div>

Utilization Management Registered Nurse

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Social Worker - Discharge Planning - Hickman Hospital - Care Navigation

Social Worker (LCSW)

Utilization Management Registered Nurse

Utilization Management Registered Nurse

Utilization Management Registered Nurse

Utilization Management Registered Nurse

Utilization Management Registered Nurse