COMPANY DESCRIPTION:

Compass Complex Discharge Solutions bridges the gap between complex discharges and compassionate care management. As a healthcare solutions provider, we use evidence-backed strategies to address complex discharges and associated challenges. Our team consists of attorneys, care managers, professional guardians, Medicaid specialists, and nursing professionals who are experts in managing intricate cases. We simplify the healthcare system by serving as a single point of contact, focusing on safely discharging complex patients with minimal expenses. Our strong partnerships with local health professionals, including skilled nursing homes and home health agencies, are key to our care delivery model.

SUMMARY: 

The Care Manager is responsible for collaborating with patients and their families, contracted hospitals, preferred providers, and the Compass Complex Discharge Solutions (CCDS) interdisciplinary team to develop and execute an efficient and safe patient discharge plan in accordance with all CCDS policies and procedures. The Care Manager will provide all services to patients with a patient-centered approach that aligns with CCDS’s core values.

ESSENTIAL FUNCTIONS:

·      Use health information technology to facilitate collaboration with a hospital’s case management team and CCDS’s interdisciplinary team to complete comprehensive patient assessments and discharge plans.

·      Develop and maintain a patient-centered discharge plan that coordinates and integrates a patient’s clinical and non-clinical healthcare related needs and services, while complying rigorously with CCDS processes.

·      Monitor and facilitate implementation of and provide updates to the discharge plan as needed.

·      Engage families and hospital Case Management team in the discharge planning process.

·      Secure all health records and other protected information with the highest regard to confidentiality and HIPAA laws and regulations.

·      Use health information technology to update patient records log daily.

·      Aid in gathering forms, documents, statements for Medicaid/ICP Applications.

·      Facilitate implementation of Guardians and/or Power of Attorneys as needed.

·      Assist in gaining access to different health facilities for patient referrals.

·      Facilitate patient placement with preferred providers.

·      Facilitate transportation for patient discharge to accepting facility.

·      Provide a discharge summary to accepting facility staff.

·      Maintain compliance with all state and federal laws and regulations, Medicaid compliance, and CCDS policies and procedures.

·      Document all services and maintain appropriate records following all established documentation procedures.

·      Participate in opportunities for continued training and education.

·      Perform all other duties relevant to the position as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Basic knowledge of clinical and psychosocial aspects of patient care.
• Ability to conduct thorough, accurate patient assessments.
• Basic technology and data entry skills and understanding of health records.
• Knowledge of HIPAA and all applicable laws and regulations and patient confidentiality requirements.
• Knowledge of ethical and professional responsibilities and boundaries.
• Demonstrate professional work habits including dependability, time management, independence and adherence to deadlines.

EDUCATION AND EXPERIENCE:

·      Bachelor’s degree in a healthcare-related field with a minimum of two years of Complex Discharge experience, OR

·      A license as a Registered Nurse or Social Worker with a minimum of two years of Complex Discharge experience, which can include any employment experience and is not limited to case management / service coordination duties

 PHYSICAL REQUIREMENTS:

• Ability to sit/stand throughout day to accomplish job.
• Ability to electronically enter data, notes, and other documentation into a computer and/or tablet.
• Must be able to travel to partner hospitals as needed.

* Reasonable accommodations may be made to the extent required under applicable law to enable individuals with disabilities to perform the essential functions of this position.

RESPONSIBILITIES RELATING TO PRIVACY/CONFIDENTIALITY OF INFORMATION:

·       Protect the privacy of all patient information in accordance with CCDS’ privacy policy, guidelines, and practices as required by federal and state law, and in accordance with general principles of professionalism as a health care-related organization.

·       May access protected health information and other patient/health information only to the extent that is necessary to complete your job duties; you may only share information with those who have a need to know specific information you have in your possession to complete their job responsibilities related to company operations.

·       Report any concerns regarding CCDS policies and guidelines on patient privacy and any observed practices in violation of that policy to the CEO.

·       Actively participate in CCDS’s privacy training and communicate privacy policy information to coworkers and others in accordance with company policy.

CCDS CORE VALUES:

All employees, as representatives of CCDS, are expected to and responsible to maintain the highest standards of personal, professional and ethical conduct in fulfilling the expectations of their job and in their relationships with other independent contractors, employees, volunteers, vendors, patients and customers and by complying with applicable laws, CCDS policies, and guidelines.

Employees are expected to fulfill CCDS’s primary mission to serve patients, clients, and the community by providing respectful and compassionate customer service at all times and to interact in a professional, courteous, respectful, ethical and non-threatening or harassing manner.

CORPORATE QUALIFICATIONS/EXPECTATIONS:

• Adhere to all CCDS and partner hospital policies and procedures.
• Adhere to CCDS’s Mission, Vision, Core Values, and Customer Service Standards.
• Attend mandatory education and training as required.
• Maintain all required certifications/training by State regulations and CCDS policy.
• Act as a professional representative of CCDS in appearance, behavior, temperament, communication, language, and dress.

CCDS is an Equal Opportunity Employer, and as such affirms the right of every person to participate in all aspects of employment without regard to gender, race, color, religion, national origin, ancestry, age, marital status, sexual orientation, pregnancy, disability, citizenship, military or veteran status, gender expression and/or identity, or any other status or characteristic protected by federal, state, or local law.

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

JOB CLASSIFICATION: Full Time, on site

RATE OF PAY: $54,000 per year