Vacancy Detail
Job Details  * This vacancy is now closed *
Job Title:
Discharge Planner- FT (1)

Posted Date:
Closing Date:
Functional Discipline:
Access and Flow
-   -   -

Job Description

Discharge Coordinator - (1) one permanent Full Time

DEPARTMENT/CAMPUS: Access & Flow - Corporate
HOURS: Currently Days and rotating weekends. (Subject to change in accordance with operational requirements) Flexible schedule depending on the needs of the organization
The Discharge Coordinator practices in accordance with standards of professional practice and the Osler corporate mission, vision and values that support a model of interprofessional collaboration as a vehicle to facilitate practice culture and support a patient-focused model of care. The Discharge Coordinator supports the delivery of a superior care experience to all patients and their families by practicing as an equal member of a core team of skilled professionals working to full scope of practice to ensure that each patient has a comprehensive patient assessment, care plan and timely and effective discharge plan.

Duties, Responsibilities & Accountabilities
In collaboration with the interprofessional team, the Discharge Coordinator coordinates decision making for patient transfer and discharge beginning at the point of admission and throughout the hospitalization:

" Screens all admissions for early identification of high-risk discharges (within 24 hours of admission) and documents accordingly.
" Conducts a risk assessment using standardized tools and communicates results of the risk assessment to the interprofessional team.
" Meets with the patient and family to determine pre-admission physical and mental functioning as it relates to activities of daily living. Identifies pertinent demographic and health related information, care giver support, community resources, and any previous discharge planning assessments that may impact on the discharge plan.
" Within 24 hours of a diagnosis being communicated, collaborates with the patient, family and interprofessional team to develop and implement an effective discharge plan that identifies barriers and solutions.
" Initiates, arranges and facilitates case conferences for management of patient care issues such as determining families understanding of discharge clinical care needs, identifying concerns regarding services and co-ordination and identifying short and long-term goals in planning discharge.
" Ensures early collaboration with the CCAC Case Managers on all patients likely to require post discharge support. Works in collaboration with the CCAC Case Manager and external agencies to develop and implement the individualized plan of care to facilitate discharge and provide guidance to patients and their families pertaining to relevant community agencies to support their needs.
" Collaborates daily (more frequently as required) with the interprofessional team, including the Most Responsible Physician, to uphold and revise as necessary a timely discharge plan.
" Documents and communicates discharge plans to the patient, family and the interprofessional team.
" Documents assessments and other relevant information in Meditech and at bullet rounds.
" Follows the patient's discharge progress through to discharge destination.
" Attends bullet rounds and initiates and/or participates in identifying the expected date of discharge and mobilizing the team to work towards a common goal.
" Maintains accurate records and statistical information and identifies ALC and actual length of stay information against expected length of stay.
" Monitors for extended length of stay beyond the estimated date of discharge and facilitates discussion at bullet rounds to minimize or remove risks and barriers to timely discharge.
" Collaborates with other Discharge Coordinators in developing strategies for extended length of stay at difficult to discharge rounds. Communicates strategies to Patient Care Managers.
" Attends daily bed management meeting and provides updates related to the patient discharge status, transitional requirements, and repatriation issues.
" Provides education, communication and assistance to the patient and family as well as the interprofessional team.
" Identifies appropriate spokesperson for the patient if the patient is incapable of making decisions. Collaborates with social work in confirming substitute decision maker and power of attorney.


" Baccalaureate degree in a health related discipline required; Masters preferred.
" Health Care Professional
" Post diploma education /experience in Gerontology preferred.
" Minimum 3-5 years recent acute care hospital and community experience.
" One year experience in case management, discharge planning, utilization review or equivalent.
" Member in good standing of a Professional College.

Internal Application Deadline:
Friday, February 15th, 2013
Friday, February 8th, 2013
*Please note that only those individuals selected for interviews will be contacted

**In order to be considered for this position, you must include a current resume or detailed qualifications summary with your application

Please apply online at: