Discharge Planner - Home Care coordinates the movement of patients between a hospital or skilled nursing facility and a home care or hospice arrangement. Reviews the patient's case and determines the best choice in services and facility to meet the medical and social needs of the patient. Being a Discharge Planner - Home Care ensures a safe transfer to a setting that meets the patient's needs and coordinates necessary services and staff required to complete the transfer. May require a bachelor's degree. Additionally, Discharge Planner - Home Care typically reports to a supervisor or manager. The Discharge Planner - Home Care gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Discharge Planner - Home Care typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Case Manager
Job Summary:
Under the direction of the Director of Case Management, the Case Manager is responsible for the activities of utilization management, and care coordination in the development and implementation of a discharge plan for an assigned group of patients. The Case Manager serves as a resource for other members of the healthcare team and provides education to team members on issues related to the continuum of care, reimbursement, regulatory agency guidelines and resource use. Through collaborative teamwork, the Case Manager assures that the treatment plan is implemented accurately, in a cost effective and efficient manner in order to promote customer satisfaction and prevent delays in care and discharge. Responsible for reviewing medical necessity indicators to assure that appropriateness of care criteria is met. Document reviews and discharge planning in the medical record and/or the computer system as appropriate. Actively participates and comes prepared contribute to multidisciplinary rounds. Documents avoidable days to support process improvement activities and support othre quality improvement programs / projects as needed. Reviews reasons for readmissions, concurrently appeal manage care denials. Collects and maintains data for tracking and reporting for outcome studies and performance improvement.