Discharge Coordinator
1 month ago
Key Responsibilities:
Reassessments:
- Conduct reassessments of members currently in services to determine their continued healthcare needs and eligibility for services.
- Implement updated individualized care plans based on reassessment findings.
- Coordinate with essential team members to ensure members remain on track with service goals.
- Communicate with members, families, and referral sources to gather necessary information and provide education about available services.
- Complete all readmission documentation accurately and promptly.
- Coordinate care transitions between different levels of care and services.
- Serve as a liaison between members, families, and healthcare providers.
- Assess member's readiness for discharge and develop discharge plans in collaboration with the interdisciplinary team.
- Coordinate discharge planning meetings with members, families, and healthcare providers.
- Ensure all discharge documentation is completed accurately and timely.
- Provide education and support to members and families regarding post-discharge care and resources.
- Follow up with members post-discharge to assess their adjustment and address any concerns.
- Ensure all documentation is completed in compliance with agency policies, state regulations, and Medicaid requirements.
- Report any incomplete or missing paperwork that impacts care or compliance of services.
- Participate in quality assurance and compliance activities as required.
- Provide emotional support to members and families during readmission and discharge processes.
- Address any member or family concerns and escalate issues as necessary.
Education: Associate or Bachelors degree in Nursing (ADN or BSN) from an accredited nursing program.
Current and valid Registered Nurse, QMHP, or LMHP in the state of Virginia.
Experience: Minimum of 2 years of nursing experience, preferably in a community health, mental health, or similar setting.
Skills:
Strong assessment and clinical skills. Excellent communication and interpersonal skills.
Ability to work effectively in a multidisciplinary team.
Proficient in electronic health records (EHR) and documentation.
Knowledge of Medicaid regulations and requirements.
Strong organizational and time-management skills.
Ability to travel to member homes and community settings as needed.
Work is performed in a clinical office setting. Work may travel to members of the community. May require evening and weekend work.
Benevolent Family Services LLC is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
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