Care Manager - Discharge Planner Supervisor

Overview

Copley Hospital
, located in Morrisville/Stowe VT, is in search of a Care Manager
- Discharge Planner Supervisor to join our team. The Care Manager
- Discharge Planner Supervisor is a core member of the hospital care team and leads discharge planning through partnerships with caregivers, internal and external providers, patients, families and communities. This role contributes to transforming the health care system toward safety, quality, patient-centered and affordable care. The position coordinates the interdisciplinary process across the continuum of care to ensure care coordination, communication and collaboration with patients, families, providers, ancillary services and community partners to achieve goals and maximize positive patient outcomes based on individual assessments of patients’ needs.

Discharge planning begins at the time of admission or prior, is reassessed during hospitalization, and involves concurrent interventions to enhance patient quality outcomes while serving as a patient advocate.

This position is Full-Time (PT options available).

Copley Hospital offers a variety of shifts across Full-Time, Part-Time, and Per Diem needs. Please apply to discuss alignment with your availability.

Compensation: Negotiable.

An offer of employment may vary based on factors such as experience, education, skill, internal equity, and market data.

Discharge Planning

• Leads the discharge planning process which links the patient-family with appropriate institutional or community resources post discharge and starts at time of admission or prior to planned hospitalization or surgeries.
• Utilizes Key Elements for Evidence-Based Discharge Planning:
• Include Patient and Family as full partners in the discharge process
• Discuss with patients and family the five key areas to prevent problems at home:
  • Describes what life at home will be like after discharge
  • Reviews medications
  • Highlights warning signs and problems
  • Explains the plan of care including test results
  • Arranges follow-up appointments
• Educates patient and family using plain language about the patient’s condition, the discharge process and next steps in the patient’s care plan.
• Assesses how well doctors and nurses explain diagnosis, condition, and next steps to the patient and family using teach-back strategies.
• Listens to and honors the patient and family goals, preferences, observations and concerns.

Supports The Care Management/Utilization Review Roles And Functions

• Case Management:
  Serve as a clinical resource. Contribute clinical knowledge and expertise to facilitate attainment of the agreed-upon goals of care.
• Collaborate with insurance companies, social work, and other hospital departments when patient care needs exceed health benefit coverage limitations to negotiate and provide for patient care needs.
• Assess patients to determine appropriateness of admission, use of observation status, continued hospitalization, and placement at the appropriate level of care. Maintain knowledge of Medicare-Medicaid guidelines and coding specifics. Communicate with physicians to ensure compliance with guidelines.
• Communicate with third-party payers and insurance companies. Provide clinical information, including patient status, plan of care and discharge disposition as requested.
• Utilize MCG, Intensity of Service, and Severity of Illness criteria to determine eligibility for acute care and observation services.
• Utilization Review:
  Perform concurrent and retrospective monitoring and analysis of variations in processes of care. Identify and recommend opportunities for improvement. Collaborate with nursing/MD, and Quality Improvement department.

The posted salary reflects base compensation for candidates with limited experience. An offer may vary based on factors such as experience, education, skills, internal equity, and market data. An offer of employment may be outside of the posted range based on those factors.

Education:

• Associate Degree in Nursing

Experience:

• Minimum of three (3) years relevant clinical experience including demonstrated use of discharge planning, utilization, and quality management skills. Chart reviewing/auditing, and ability to extract and analyze data.

License and Certification:

• RN License in Vermont in good standing

Skill Requirements:

• Strong clinical skills, leadership, and computer skills.
• Able to establish and maintain strong working relationships.
• Self-directed, assertive problem-solving.
• Effective assessment and planning skills.
• Effective written and oral communication skills.
• Champions and builds interdisciplinary teams.