The SNF Discharge Patient Engagement Manager will oversee the discharge planning process for short-term skilled nursing facility (SNF) patients, ensuring a seamless transition to home care.
This role involves establishing strong relationships with patients to facilitate follow-up visits post-discharge.
The manager will lead a team of coordinators, providing guidance and support while also engaging directly with patients to optimize care coordination and enhance the patient experience.
Key Responsibilities: Supervise and mentor the Discharge Patient Engagement Coordinators to ensure effective discharge planning and patient engagement. Develop and implement strategies to build relationships with patients, families, and caregivers to promote follow-up care. Collaborate with healthcare providers to ensure continuity of care during and after the discharge process. Conduct assessments to identify patients' post-discharge needs and coordinate appropriate home care services. Provide education to patients and families regarding post-discharge care plans, including follow-up appointments and medication management. Monitor patient outcomes and satisfaction levels, making improvements as necessary to enhance the discharge process. Serve as a liaison between patients, families, and healthcare teams to address any concerns or barriers to discharge. Ensure compliance with all regulatory requirements and facility policies related to discharge planning and patient engagement. Qualifications: Bachelor's degree in Nursing, Social Work, or a related field (Master's degree preferred). Active nursing license or social work certification. Minimum of 5 years of experience in discharge planning, patient engagement, or related roles. Strong interpersonal and communication skills with the ability to build rapport with diverse patient populations. Proven leadership and team management experience. Proficient in care coordination and knowledge of community resources for post-discharge support. Ability to analyze patient data and outcomes to drive continuous improvement
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