RN Case Manager - Discharge Planning (PRN)

Position Summary

The Case Manager Discharge Planner provides focused discharge planning, initiated as early as possible after admission, to facilitate timely and appropriate discharges in collaboration with the patient, family, and clinical care team.

Work Schedule

Flexible schedules to cover all shifts and weekends, as hospital needs demand.

Primary Duties

Discharge Planning:

Provides focused discharged planning, initiated as early as possible after admission, to facilitate timely and appropriate discharges.

• Maintains current, accurate information regarding community resources to facilitate discharge planning.
• Identifies patients with complex discharge planning needs arising from diagnoses, therapies or psychosocial or other relevant circumstances.
• Documents discharge planning activities in the medical record.
• Facilitates transfers to appropriate higher level of care facilities when services are not available based upon the facility’s Scope of Care (e.g., pediatric or neonatal intensive care).
• Includes alternative care facility placement, DME, family involvement and community resource referral in discharge planning activities.
• Directs and delegates activities associated with executing the discharge plan to appropriate personnel

Communicates effectively with patients, families, physicians, staff and other customers.

• Communicates clearly and accurately in both verbal and written form.
• Consistently demonstrates tact, diplomacy, sensitivity and professionalism.
• Exhibits appropriate telephone protocol.
• Adheres to proper channels of communication in a courteous and cooperative manner.
• Acknowledges each patient complaint within the shift and takes appropriate action.
• Greets patients and visitors promptly and makes them feel welcome.
• Utilizes correct procedure in regard to hospital information systems and communication with ancillary departments.
• Actively participates in inter-disciplinary health team conferences.

Dimensions of Patient Care Employee:

• Identifies and corrects conditions that affect employee safety; upholds safety standards.
• Maintains stable performance under pressure or opposition; handles stress in a manner that is acceptable to others and to the organization.
• Makes customers and their needs a primary focus on one’s actions; develops and sustains productive customer relationships.
• Having achieved a satisfactory level of technical and professional knowledge in position related to areas, maintains current development and trends in area of expertise.
• Clearly conveys information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.

Qualifications/Specifications

• Education: Graduate of an accredited program of nursing or social work required. RN required, BSN preferred for nurses.
• Licensure/Certification: Current state issued license required for any RN or state certification required for Social Worker. Nurse may have license from a state within Nursing Compact.
• Experience: Minimum of two years of case management experience with 1 or more years in a hospital setting preferred.