**It's more than a career, it's a calling.**

OK-SSM Health St. Anthony Hospital - Oklahoma City

**Worker Type:**

Regular

**Job Summary:**

Assesses, develops, plans, implements, and evaluates patients discharge planning needs to next level of care in collaboration with interdisciplinary team.

**Job Responsibilities and Requirements:**

PRIMARY RESPONSIBILITIES

+ Ensures compliance with Condition of Participation (CoP) discharge planning.
+ Identifies and escalates gaps/barriers related to inpatient and observation length of stay.
+ Assesses patients at high risk for readmission. Identifies root cause for readmission. Develops plan and collaborates with multidisciplinary team regarding discharge planning to next level of care.
+ Participates with other members of team regarding opportunities for improvement in standard work.
+ May also be responsible for: utilization management process, ED case management ...