What are the responsibilities and job description for the Discharge Planner II/Utilization Review position at Prime Healthcare Services?
Overview
As a member of Prime Healthcare, East Liverpool City Hospital is proud to be part of a system recognized as one of America's Greatest Workplaces for 2024 by Newsweek and Plant-A Insights Group! This prestigious honor is based on over 1.5 million comprehensive company reviews from more than 250,000 employees, highlighting our commitment to creating a positive and supportive work environment. Thank you to all our amazing employees for making this possible!
East Liverpool City Hospital is an award-winning community hospital proudly serving residents of the tristate region since 1905. With 152 licensed beds and more than 500 employees, the hospital averages 31,000 Emergency Department visits annually. East Liverpool's medical staff is comprised of more than 160 physicians with an additional 21 resident physicians completing their training in Family Medicine and Internal Medicine. The hospital provides 24/7 emergency services, general surgery, medical stabilization for substance abuse, behavioral health for adults over the age of 55, and remains the ONLY cardiac rehabilitation program in Columbiana County. For more information, visit www.elch.org.
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Responsibilities
Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist with development and implementations of discharge plans. Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility’s procedure. Assists with Discharge Planning as assigned by interviewing patients/families and gathering data to develop a safe patient-focused Discharge Plan.
Qualifications
1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
2. Active state LPN license required upon hire and maintain current.
3. Experience in basic to intermediate computer skills/knowledge
4. Current BCLS (AHA) certificate required upon hire and maintain current.
#LI-WM1
