FirstHealth of the Carolinas

Nonprofit health system in central North Carolina

Discharge Planner

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours

Full-timePinehurst, NC, USA

About the Job

Requirements

A Bachelor's degree in Nursing or Social Work and at least 3 years of nursing or Social Work experience in medical/surgical, critical care, hospice, home health, or public health is required; alternatively, an Associate degree in Nursing and at least 4 years of experience in those settings is required.
An LPN with at least 5 years of hospital-based experience is required.
Medical terminology is required.

Responsibilities

Facilitate coordination and development of comprehensive individual plans of care in collaboration with patients, families, and the multidisciplinary team, including goals and interventions based on patient needs and choices.
Coordinate and prioritize daily discharges in a timely manner, make patient and family rounds, maintain communication with healthcare team members, and review assigned tasks daily for follow-up.
Assess discharge disposition on an ongoing basis and communicate changes in plans or needs to appropriate resources.
Develop, implement, and manage referral processes for Home Health, HME, SNF, and other agencies and facilities.
Promote timely, cost-effective, efficient, and safe discharge plans to community services, including long-term care and home health services.
Track avoidable days on patients as indicated and assist staff with clinical decision-making and priority setting to support optimal lengths of stay.
Collaborate with the admitting office, HIM, patient accounts, and patient care departments to support effective communication and coordination.
Use approved departmental communication tools for documentation and act as a liaison for interdisciplinary communication and discharge-plan coordination.
Initiate Guardianship, APS, and CPS referrals when appropriate and communicate with relevant disciplines and agencies.
Serve as a liaison for physicians, nursing staff, and ancillary departments to coordinate patient processing through the healthcare delivery system.
Proactively identify and resolve discharge delays and obstacles, and identify appropriate care settings within the continuum.
Promote a quality care environment while maintaining fiscal responsibility and conserving resources through multidisciplinary practices.
Provide the second copy of “The Important Message to Medicare Recipients” in a timely manner and in accordance with CMS regulations.

Desired Qualifications

Case Management certification is preferred.

Position Summary

We are looking for local or out-of-state experienced RN's, LPN's, BSW's, or MSW's looking for an opportunity as a Discharge Planner (Case Manager) to join our nationally recognized healthcare system. This is NOT a Remote position.

FirstHealth of the Carolinas is a nationally recognized health care system located in central North Carolina. Comprised of four hospitals (Moore, Hoke, Richmond, and Montgomery) with more than 600 beds, the system also offers leading-edge heart care in the Reid Heart Center, the area’s only dedicated heart and vascular center. As of March 2023, FirstHealth of the Carolinas officially opened its new comprehensive cancer center to patients. Our growing health system has more than 5,400 employees serving in more than 75 locations throughout a 15-county service area. In addition, the system provides home health and hospice services, emergency care, and medical transportation. FirstHealth of the Carolinas has over 50 primary care, specialty care, convenient care and dental clinics located throughout our service area.

We are committed to a culture of excellence in which everyone feels valued and connected, and where differences are both respected and supported. Our career opportunities allow our staff to practice in a team environment as a vital part of growing a widely respected health care system and medical community. We have been named Becker's Top 150 Places to Work in Healthcare for a third time.

*This position is located in Pinehurst, NC and is NOT a remote position

*Sign-on Bonus Eligible

*Relocation assistance determined at time of offer

*Great benefits package

*Free FirstHealth Fitness Membership

*Career Development

*PSLF Qualifying Employer

Responsibilities

Discharge Planner (RN, LPN, MSW, or BSW) Job Summary

Facilitates coordination and development of comprehensive and individual plan of care in collaboration with patient, family and multidisciplinary team to include goals and interventions relative to patient needs and choice. Coordinates and Prioritizes discharges daily in a timely manner. Makes patient/family rounds maintaining communication with all members of healthcare team. Reviews all tasks daily for follow up of assignment.

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. Promotes a timely, cost-effective, efficient, and safe discharge plan to community services including long-term care, home health services, etc. Tracks avoidable days on all patients as indicated. Assists staff in clinical decision-making and priority setting to ensure an optimal length of stay. Collaborates with admitting office, HIM, patient accounts, and patient care departments to ensure effective and efficient communication of efforts and activities.

Utilizes approved departmental communication tools for documentation. Acts as Liaison for interdisciplinary communication and coordination of discharge plan. Initiates Guardianship/APS/CPS referrals when appropriate and communicates with all necessary disciplines and agencies. Serves as a liaison for the physician/nursing staff/ancillary departments to implement processing of the patient through the healthcare delivery system. Proactively identifies and resolves delays and obstacles to discharge. Identifies appropriate venue for care within the continuum. Promotes a quality care environment while maintaining fiscal responsibility for resource conservation by promoting multidisciplinary practices. Dispenses the second copy of "The Important Message to Medicare Recipients" timely and according to CMS regulations.

Qualifications

Discharge Planner (RN, LPN, MSW, or BSW) Qualifications

Bachelor’s Degree in Nursing/Social Work with a minimum of 3 years nursing/Social Work experience in medical/surgical, critical care and/or hospice, home health or public health required
OR Associate Degree in Nursing with a minimum of 4 years of experience in medical/surgical, critical care and/or hospice, home health or public health required.
OR LPN with at least 5 years of hospital-based experience required
Medical Terminology Required
Case Management certification preferred.

*Please note: this position does not provide clinical hours toward obtaining a LCSW license

About the Company

FirstHealth of the Carolinas

Nonprofit health system in central North Carolina

FirstHealth of the Carolinas is a private, nonprofit health system serving central North Carolina through hospital and community care. Its hospitals and clinics combine primary and specialty care, including emergency medicine, cancer, heart and vascular services, rehabilitation, hospice, home care and virtual visits. The system also operates ambulance and critical care transport and community programs, linking acute treatment with support beyond hospital stays. FirstHealth's comprehensive cancer center and dedicated heart and vascular center bring advanced specialty services to the region. Formed in 1995 when Moore Regional Hospital and Montgomery Memorial Hospital joined, FirstHealth is headquartered in Pinehurst, North Carolina.

Company size: 5,001-10,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Pinehurst, NC
Founded: 1995

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