UC Health, LLC
Discharge Planning Assistant, Full Time, First Shift (Finance)
Post Acute Coordination:
Communicate with post acute providers to determine insurance coverage, authorization or availability of requested services.
Address service delivery obstacles including self-pay pricing and network restrictions.
Obtain insurance approval for services as needed; charity care negotiations, special contracts.
Schedule follow up appointment as directed by the care team.
Transportation:
Coordinates and arranges transportation for the patient's discharge to include medical transport, Lyft, greyhound, etc.
Obtains necessary insurance authorization for transportation.
Community Relations:
Obtain and maintain current, accurate information regarding community DME, infusion and other homecare resources.
Employ effective negotiation skills in order to secure the most appropriate and affordable post-acute resources for the patient.
Assist in identifying patients in need of special contracts for post-acute needs.
Miscellaneous:
Support various quality initiatives under the direction of department leadership, i.e. CQI.
Demonstrate customer focused interpersonal skills, utilizing problem solving process.
Communicate, resolves or, when appropriate escalates to the social worker instances of conflict with physicians, health care team members, community agencies, clients and families with diverse opinions, values and religious/cultural ideas.
Perform other duties as assigned; for example, participation in planning sessions for departmental activities.
Assist with maintaining the equipment closet.
Professional Development:
Maintain licensure by obtaining CEU's, if appropriate.
Attend appropriate workshops, in-services and departmental meetings.
Stay abreast of community resources available to facilitate safe patient transitions of care.Transition of Care Planning
Make referrals as directed by the case management or social work team for post-acute care including but not limited to Home Health, Durable Medical Equipment, Skilled Nursing Facilities, Assisted Living, etc.
Alerts appropriate staff members when patients have been accepted to post-acute level of care or services.
Asssist the case management or social work team in communicating with insurance companies regarding authorization of post-acute needs.
Determine financial/payer status; collaborate with financial counselor to ensure alignment of care recommendations and payer provisions.
Assist with personal care items as needed for discharge.
Utilize effective engagement and interpersonal skills in interactions with patient's family and health care team.
Perform clerical functions related to discharge planning process such as faxing, copying, discharge packets, etc.
Delivers the Important Message from Medicare (IMM) to all Medicare beneficiaries.
Post Acute Coordination:
Communicate with post acute providers to determine insurance coverage, authorization or availability of requested services.
Address service delivery obstacles including self-pay pricing and network restrictions.
Obtain insurance approval for services as needed; charity care negotiations, special contracts.
Schedule follow up appointment as directed by the care team.
Transportation:
Coordinates and arranges transportation for the patient's discharge to include medical transport, Lyft, greyhound, etc.
Obtains necessary insurance authorization for transportation.
Community Relations:
Obtain and maintain current, accurate information regarding community DME, infusion and other homecare resources.
Employ effective negotiation skills in order to secure the most appropriate and affordable post-acute resources for the patient.
Assist in identifying patients in need of special contracts for post-acute needs.
Miscellaneous:
Support various quality initiatives under the direction of department leadership, i.e. CQI.
Demonstrate customer focused interpersonal skills, utilizing problem solving process.
Communicate, resolves or, when appropriate escalates to the social worker instances of conflict with physicians, health care team members, community agencies, clients and families with diverse opinions, values and religious/cultural ideas.
Perform other duties as assigned; for example, participation in planning sessions for departmental activities.
Assist with maintaining the equipment closet.
Professional Development:
Maintain licensure by obtaining CEU's, if appropriate.
Attend appropriate workshops, in-services and departmental meetings.
Stay abreast of community resources available to facilitate safe patient transitions of care.