Providence Discharge Planner in Mission Hills, California
Providence is calling a Discharge Planner (On Call/Day shift) toProvidence Facey Medical Foundation in Mission Hills, CA.
Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system.
We are seeking a Discharge Planner who will collaboratively work with RN/LVN case manager, to manage and coordinate all non-clinical duties related to care of members who have complex medical problems requiring multidisciplinary intervention on weekdays, weekends and holidays. The purpose is to coordinate, facilitate, and follow a patient's use of an array of health and social services by utilizing community based services to prevent over-utilization and re-admissions by meeting the member's needs during and after hospitalization.
In this position you will:
Deliver upon the service expectations of both our patients and fellow staff members by listening to their needs; engaging in positive interactions; and following through on promises made in a thoughtful, efficient, timely and courteous manner so that their total outcome is better than expected
Respect the dignity, confidentiality and privacy of patients
Work in a safe manner, adhering to general safety precautions and standards Report any unsafe conditions to their supervisor and/or the safety hotline
Be helpful to patients/visitors who need assistance in finding their way around the facility
Adhere to established policies contained in the Human Resources and internal departmental manuals
Complaint are referred to the UM Discharge Planner Supervisor if the problem cannot be immediately solved
Physicians and fellow staff members are treated courteously
Respond to requests from other departments in a timely, positive and friendly manner
ActIvely promote communication between all team members, family, member, provider and all parties involved
Obtain daily hospital census information and coordinate with Physicians and UM Case Manager
Enter referrals thru MSO UM Referral System as needed. Determine appropriate providers for DME, infusion, home health, hospice, skilled nursing, ambulatory, consultants with hospital, and ambulances, etc.
Fax orders and phone intake to all providers/agencies
Research all needed information in MSO UM Referral System, EPIC and various EHR’s of hospital/medical groups
Make appointments: follow up with PCP and/or specialist and radiology procedures
Schedule PCP appointments in EPIC
Verification of insurances (HMO, Full Risk patients, Medicare, PPO, etc.)
Check benefits for all required referrals (SNF, HH, HOSPICE, DME)
Arrange outpatient services: DME, HH, SNF, therapy, PCP follow up, specialist, education, and care management
Make post discharge telephonic follow up call within 1 week of discharge and document in EPIC
Report any issue to UM Discharge Planner Supervisor
May assist case manager gathering all relevant data and obtains information by interviewing member/family
Assist case manager to work with the member/family to develop a discharge plan which enhances member outcome and improve utilization of services across the continuum. The planning process includes member/family as the primary decision maker and goal setter
Discharge patients from MSO UM Referral System with appropriate diagnosis and level of care
Act as liaison between UM staff and hospital case managers
Attend monthly UM Staff meetings
Demonstrate behaviors, which are consistent with the Code of Conduct and aligned with the organization’s mission, vision and shared values:
Report promptly any suspected or potential violations to laws, regulations, procedures, policies and practices, and cooperates in investigations
Conduct all transactions in compliance with all company policies, procedures, standards and practices
Demonstrate knowledge of all applicable compliance and legal requirements of the job based on the scope of practice of the position
Ensure that appearance and personal conduct are professional at all times.
Excellent attendance record
Wear appropriate clothing for job functions
Work at maintaining a good rapport and a cooperative working relationship with staff and physician offices
Represent the organization in a positive and professional manner in the community
Maintain organizational, employee and patient confidentiality at all times
Required qualifications for this position include:
1 year current medical office or utilization management experience
Basic knowledge of disease processes
Ability to recognize problems and to use effective judgment in problem solving
Demonstrates proper phone etiquette, strong computer skills including knowledge of EPIC, MSO UM Referral System, MS Outlook, Word and Excel
Preferred qualifications for this position include:
- Verified skill sets defined by department usage
About the organization you will serve:
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties. Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita, San Gabriel and Simi Valleys. The group began as a single medical practice over 90 years ago.
Facey is part of Providence Health & Services, an integrated, not-for-profit 5-state network of hospitals, care centers, medical clinics, affiliated services and educational facilities spanning from California to Alaska.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Schedule: On Call
Job Category: Administrative (Clinical)
Location: California-Mission Hills
Req ID: 287245