Discharge Support Coordinator

The Discharge Support Coordinator (DSC) reviews and electronically sorts data contained in a proprietary database of skilled nursing facility, home health care providers, acute rehabilitation hospitals, and long-term acute care hospitals. The DSC ensures the data reported meets the patients' unique geographical, healthcare and payer needs. This role is responsible for completing all necessary forms, approvals, and Government and payer regulations to ensure patients discharge is not delayed. The DSC maintains knowledge of both publicly reported and internally obtained PAC quality metrics, understands and able to explain CMS quality star ratings. The DSC maintains knowledge of post-acute care providers, services offered, quality metrics and government regulations related to post-acute care.

Through patient interaction and engagement, the DSC determines the patients' likelihood of scheduling follow up appointments and obtaining discharge medications. Information obtained is shared with UH Nurse Practitioner at the receiving site when applicable or refers to social work for assistance. The DSC must be knowledgeable and able to answer questions and provide support for patients from hospital to home and serves as a resource for internal staff. The DSC may be asked to perform other duties necessary to support the continuum of care.

*This is an in-person position, requiring local travel to various facilities in Lee County.*

Pay Range: $18-20 an hour, based on skills & experience 

Essential Duties:

• Maintains accurate data within the CFLH proprietary database.
• Ensures complete documentation is sent during referral, and updated prior to placement
• Understands government regulations for levels, and completes required approvals
• Supports the discharge process from acute to post-acute.
• Serve as a content expert for all levels of post-acute care.
• Is instrumental in ensuring a smooth transition
• Identifies any patient barriers to follow-up care and notifies internal coordinator.
• Is responsible for completeness of electronic documentation
• Works collaboratively with Care Coordinator, SW, nursing, home care, and inpatient rehabilitation staff to ensure a seamless transition.
• Serves as a second contact point for patients throughout transitions of care
• Maintains a knowledge of community and social support services.
• Is the contact point for patients and their caregivers when questions or concerns arise throughout the transition of care and provides contact information for community and social services as required.
• Contacts patient within 24 hours of discharge from acute setting to ensure a UH physician or nurse practitioner has met with the patient.
• Completes follows up calls to patients weekly until discharged from nursing home and 24 hours after arrival to home.
• Is a content expert on ER Intercept program, insurance providers, and accepting sites.

Experience & Knowledge:

• Experience in transitions of care, acute or post-acute setting, and is familiar with referral and placement process.
• Ability to effectively communicate with staff, post-acute providers, support services, physicians, patients and caregivers.
• Ability to perform duties while adhering to strict government regulations and understand all levels of post-acute care, hospital, and physician regulations.

Special Skills & Equipment Knowledge:

• Must exercise creativity and problem-solving skills with the ability to communicate effectively with both internal and external clients.
• Must be a confident, motivated self-starter and demonstrate flexibility, initiative, patient focus and the ability to handle stress.
• Must have experience with EMR, reporting skills, administrative writing skills, Microsoft Office skills, managing processes, organization, analyzing information, professionalism, problem solving, supply management, inventory control.

Education:

• High school diploma required, bachelor's degree and/or clinical license preferred