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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, USAIn-person

About the Job

Requirements

  • A Bachelor's degree in Nursing or Social Work and a minimum of 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 a minimum of 4 years of experience in medical/surgical, critical care, hospice, home health, or public health is required.
  • Alternatively, 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 aligned with patient needs and choices.
  • Coordinate and prioritize daily discharges in a timely manner; make patient and family rounds while maintaining communication with healthcare team members; and review daily tasks for follow-up.
  • Concurrently assess the appropriateness of discharge disposition and communicate changes in the plan or needs to appropriate resources.
  • Develop, implement, and manage processes for referrals to home health, home medical equipment, skilled nursing facilities, and other agencies or 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.
  • Assist staff with clinical decision-making and priority setting to support an optimal length of stay.
  • Collaborate with the admitting office, Health Information Management, patient accounts, and patient care departments to ensure effective and efficient communication of efforts and activities.
  • Use approved departmental communication tools for documentation.
  • Act as a liaison for interdisciplinary communication and coordination of discharge plans.
  • Initiate guardianship, Adult Protective Services, and Child Protective Services referrals when appropriate, and communicate with necessary disciplines and agencies.
  • Serve as a liaison for physicians, nursing staff, and ancillary departments to facilitate patient processing through the healthcare delivery system.
  • Proactively identify and resolve delays and obstacles to discharge.
  • Identify appropriate care venues across the continuum.
  • Promote a quality care environment while maintaining fiscal responsibility for resource conservation through multidisciplinary practices.
  • Dispense the second copy of the Important Message to Medicare Recipients in a timely manner and in accordance with Centers for Medicare & Medicaid Services regulations.

Desired Qualifications

  • Case management certification is preferred.

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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