The Discharge Planner is responsible for providing direct and indirect client care; providing psychotherapeutic services to clients and families; serves as a member of the interdisciplinary team supporting the facilityâ€™s treatment program and philosophy; serves as the primary liaison between the facility and outside agencies for discharge planning, abuse reporting, and continuum of care functions. The Discharge Planner:Â Â Â Â Â Â Â Â
Facilitates timely referrals to alternate levels of care and assists family and/or guardian with completion of applications.
Communicates with referral providers about new referrals and ensures that the facility has all necessary information to consider a referral; assists with ensuring that all receiving providers have all necessary clinical materials and information.
Documents case management contacts in progress notes, communicates with therapists/treatment team about contact and updates on the status of discharge planning.
Works with involved agencies by arranging and participating in multi-agency meetings as needed to facilitate a smooth discharge.
Works with Utilization Review to establish prior authorization, travel, insurance application, etc. is coordinated for a timely discharge.
Maintains a shared file where information is updated to review status of faxes, referrals, etc; maintains contact with current providers to update them on the status of patient/course of hospitalization and to obtain information from provider to share with treatment team.
Participates in problem-solving regarding abrupt changes in discharge, coordinates and communicates the discharge plan.
Coordinates travel arrangements as directed by the therapists and communicates all information to therapists in a timely manner; contacts family with travel information and provides copies of necessary travel documents to family if directed by the therapist/treatment team.
Coordinates discharge appointments and communicates to therapist and family if directed by therapist/treatment team.
Maintains documentation on all cases; ensuring progress notes on all case management contact/discharge planning efforts are completed no later than 24 hours after the contact; documents discharge appointments in the discharge paperwork.
Participates in community activities as requested by the Director of Social Services to build relationships with community providers.
Serves as an effective team member and works closely with the Utilization Review team and clinical team.
Makes phone contacts with referral services and outpatient providers weekly.
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