Supervisor District Operations - Access and Flow

About the Opportunity

• Early identification of patients requiring complex discharge planning case management through high-risk screening criteria, bullet rounds, and referrals
• Assessment of patient’s medical, functional, cultural, and psychosocial needs, family issues / dynamics, and extent of community resources in light of input / assessments from the multidisciplinary pod and community partners re : identified needs and care options to facilitate the transition through care continuum
• Planning which is a dynamic process and involves continuous review and communication of potential plans and timelines in partnership with the multidisciplinary team, client / SDM, family, and community agencies / facilities
• Facilitation of safe patient discharge through ongoing assessment, case coordination, and development of appropriate discharge plans. Included but not limited to patient / family education; referral and completion of application to specialized treatment programs; coordination of family meetings; coordination of legal / financial capacity or SDM issues. Participation in bullet rounds, Joint Discharge Operations – JDO- meetings, and (where appropriate) weekly multidisciplinary team rounds. Ongoing review and monitoring of ALC designation; and ongoing re-evaluation of discharge plan especially if other special needs identified, e.g. significant behavioral / psychiatric concerns
• Advocate to identify gaps in services, the need for individualized program consideration, and system-level changes required to meet the changing needs of the patient population

Activities :

About You

We would love to hear from you if you have the following :

Please ensure your resume is up to date and includes all relevant education, experience, training, and certifications.

Hours

Compensation and Benefits

$40.95 - $54.41 Hourly

Successful candidates may be eligible for our benefits package which includes health, dental, travel, long-term disability, and life insurance coverage as well as a defined benefit pension plan.