Case Manager

A Partnership with

CHRISTUS

Spohn Health System We are passionate about helping individuals manage the challenges associated with anxiety, depression and other mental health issues. Utilizing proven, innovative and progressive therapies, our qualified professionals strive to promote long-term wellness through a range of counseling and treatment options. The journey to healing begins here. The Discharge Planner coordinates with the admission staff and clinical staff to facilitate the meeting of patient's treatment needs for the inpatient programs in accordance with the Joint Commission, Federaland State regulations, Oceans' mission, policies and procedures and Performance Improvement standards. This position acts as patient liaison for physician, clinical staff and family member's activities in order to coordinate resources and discharge needs. The Discharge Planner works in coordination with the Performance Improvement Coordinator to conduct closed and concurrent reviews of medical records. This role interacts with members of the medical/clinical team to provide a flow of communication, documents timely and comprehensive information to support the level and intensity of services rendered, as well as facilitating timely discharge planning. The Discharge Planner works with the primary therapist and nursing staff to facilitate treatment planning documentation, family contact, scheduling appointments, absentees from programming and access to community resources.

Essential Functions:

Functions as patient liaison in the role of discharge planner to coordinate patient treatments with the physician, therapist, and nursing staff. Reviews psychosocial data and other assessments to complete discharge assessment with patient; presents to multi-disciplinary treatment team for review and approval. Schedules appointments, follows up on absentees and completes continuing care plans. Attends treatment team meetings and communicates discharge planning activities to the other team members. Attends status meetings to share pertinent data and communicate current status, update attendance calendar and communicate individual patient needs to clinical and admission staff. Performs additional discharge planning duties as required and coordinates flow of communication amend staff involved in the patient's care; completes paperwork for judicial commitments and state bed packets. Completes referral process and necessary paperwork for all other levels of care and make follow-up appointments; including follow-up letters needed by the patient; completes all medication assistance forms and assists patients and families with follow-up care items. Conducts special retrospective studies/audits when need is determined by M&PS and /or other committee structure. Accurately does discharge reviews on 100% of all discharges per month; accurately inputs discharge review information into computer database; accurately completes all initial CQI+ forms and questionnaires in a timely manner. Performs other duties and projects as assigned.