LPN Discharge Planner

2 weeks ago

Baltimore, United States FutureCare Health Full time

Overview

Overview:

At FutureCare our Licensed Practical Nurses Discharge Planner are our frontline heroes and are the heart of healthcare. Through their unwavering commitment and hands on approach to deliver the highest standards of quality, our talented compassionate LPN's wear a badge of courage as they provide support and care for our residents. Making a difference, providing hope, and better health for tomorrow is what makes us FutureCare

Voted 12 years in a row in The Baltimore Sun as a "Top Workplace" and recognized in US Newsweek's publication as "Best Nursing Home", FutureCare stands out as a leader in managing health care across a continuum of care. We are known for recognizing hard work and dedication and reward our team members for their compassion and care. We also an Excellent Benefits Package, Flex/Advance Pay, Tuition Reimbursement, Career Growth Ladder, Employee Referral Bonus Program, Employee Assistance Program (EAP), 401K Plan.

* Sign-On Bonus $5,000 For All Full-Time Hires*

Responsibilities

Resposnsibilities:

* Meets with patients and families upon admission to better understand patients' prior level of function and to discuss initial discharge plan.
* Attend PPS meeting and engage with interdisciplinary team regarding patient discharges.
* Order durable medical equipment prior to discharge.
* Assess patients who require oxygen upon discharge and order oxygen as needed.
* Arrange for overnight oximetry tests for patients requiring PAP machines upon discharge. Order PAP machine as indicated.
* Attend care plan meetings as needed.
* Place follow up discharge phone call to patient/responsible party within 72 hours of discharge to insure all necessary services are in place.
* Complete discharge paperwork and place in patient chart.
* Formulate discharge email and update as needed to keep all interdisciplinary team members informed.
* Complete Health Care Practitioner Form/Resident Assessment Tool for all patients discharging to an assisted living.
* Coordinator smooth transition with all Assisted Living Facility personnel.
* Gather referral packet and communicate with other SNF's for patients transitioning to other long term care settings.
* Complete and obtain signature from physician for Face to Face.
* Arrange for home health services.
* Assist family is obtaining transportation for community dialysis as needed.
* Arrange for transition to community dialysis for dialysis patients.
* Connect with patients and families one week prior to discharge to assess for discharge needs.
* Assist patient and family with locating community resources as needed.
* Work collaboratively with local hospitals, to include attending meetings, as it pertains to facility admissions and discharges.
* Abide by the standards identified in FutureCare's Statement of Corporate Ethics and the Corporate Compliance Plan.
* Other relevant duties as assigned.
*

Qualifications

Requirements:

* Licensed nurse in the State of Maryland
* Preferred experience in a skilled nursing, sub-acute, or health care setting.
* Excellent interpersonal skills to appropriately relate to patients, their families, other staff members, department heads and community agency personnel.
* Demonstrated oral and written communication skills.
* The ability to discreetly manage confidential information.
* The ability to function as a member of an interdisciplinary team.
* The capacity to handle a large volume of admissions and discharges.

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