K.A. Recruiting

Social Worker- Transitional Care Coordinator/Discharge Planner/Utilization Review

John Day, OR 97845

Job Type: Other Allied Healthcare Opportunities Job Number: KMC411182

Social Worker, Masters in Social Work, Transitional Care Coordinator/Discharge Planner/Utilization Review 


Let the adventure begin in Northeastern Oregon surrounded by beautiful mountain ranges, rural ranching community and lots of outdoor activities. 

We are accepting applications for TRANSITIONAL CARE COORDINATOR/DISCHARGE PLANNER/UTILIZATION REVIEW. Competitive wage and benefits package. 

Provide transitional care, discharge planning and utilization review services including psychosocial assessments, brief patient/family counseling, support, resources, education and intervention. Arranges and communicates efficient, timely and cost-effective discharge plans for positive patient outcomes. Participates in performance improvement and continuous quality improvement (CQI) activities. 

The TRANSITIONAL CARE COORDINATOR (TCC), along with the Medical Director, provides Transitional Care Program leadership including implementation, care coordination, patient activities, marketing and quality assessment. The TCC is knowledgeable of program components, ensures staff are fully trained, provides program and clinical leadership, oversees and coordinates patient-care from pre-admission through discharge, and is actively involved in all program and quality measures. 

The DISCHARGE PLANNER/UTILIZATION REVIEW will plan, organize and evaluate the discharge planning function of the hospital. Works with members of the healthcare team to assure a collaborative approach is maintained in care and treatment of the patient. The Discharge Planner maintains performance improvement activities for the Transitional Care Unit, discharge planning/utilization review and reports activities to the performance improvement committee of the hospital. 



Master's Degree in Social Work and Board Eligible. 
2-5 years of progressive responsibility in discharge planning and demonstrated utilization/case management experience in a recognized program. 
Must possess excellent interpersonal skills to effectively represent BMHD in the public realm and be able to interact with fellow team members, nursing/physician/ancillary staff, third-party payors and patients/families in a positive manner. 

Management experience,clinical intervention,case management and community outreach services. 
Experience as a social worker in a hospital or medical setting. 

Basic Life Support (BLS) certified by American Heart Association (AHA). Must obtain within 60 days of hire. 

Preferred License/Certification: 
Certified Case Manager (CCM) by Commission for Case Manager Certification 
Certified Professional Utilization Review (CPUR) or Healthcare Management (CPHM) by McKesson 

Promotes the mission, vision and values of the BMHD. 
Knowledgeable of the Transitional Care Program process, clinical and CMS guidelines. 
Monitors the program quality measures and supports the development of action plans as needed to improve program processes and outcomes. 
Participates in marketing and referral development activities. 
Identifies and develops new product lines to meet the needs of the community served. 
Develops strong relationships with the other acute care hospital discharge planning staff within the referral area. 
Is recognized by the care team, administration and patients and families as essential leader. 
Ensures the clinical staff complete education and training and are competent in program clinical skills. 
Assess appropriateness of all referrals, engages and educates patient and family on expected discharge plan. 
Ensures the Transitional Care program components are in place and functioning properly to include leading Utilization Review (UR) process and interdisciplinary team (IDT). 
Ensures the collection pertinent quality metrics into the quality reporting portal. 
Communicates with family members and caretakers regarding the needs of the patient and anticipated plans including community resources. 
Discharge planning goals are established in coordination with the patient and family/caretakers. 
Maintains current knowledge of resources available within the community, maintains supply of resource materials to be distributed to patients for educational purposes. 
Follows up on all patient referrals to agencies or other medical facilities. 
Accurately determines type of assistance/setting/resources necessary for the patient/family and provides appropriate resources/assistance/list of facilities to monitor potential admission to BMHD swing program. 
Effectively and consistently communicates with BMHD personnel and encourages interactive departmental meetings and discussions. 
Represents the organization in a positive and professional manner at all times. 

Establish & maintain solid work relationships through communication, cooperation, and positive interaction with all employees, staff, patients and physicians. 



For more details on these positions please submit your resume for review!



Please click APPLY ONLINE or email us a copy of your resume directly (my email is next to my profile). Be sure to check out all of our jobs at http://jobs.ka-recruiting.com. We look forward to working with you!

Kristin Campbell
Healthcare Recruiter

Hello! Thanks for checking out my job openings. I specialize in recruiting and placing healthcare professionals into full time permanent positions nationwide. I work with top hospitals/clients on Physician, Advanced Level Practitioners, Therapy, Nurses, Nurse Leadership, Laboratory, and other Allied Health Recruitment. I look forward to placing you into a long term satisfying career!

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