JOB DESCRIPTION – POSITION REQUIREMENTS JOB TITLE: DISCHARGE PLANNER CC/Department: 6341 Geriatric Behavioral Health Reports to: Department Director     MISSION STATEMENT Will deliver and manage excellent services and systems of care for persons with serious acute mental illness.   POSITION OBJECTIVE The psychiatric unit discharge planner provides intensive discharge planning and other case management support to patients and their families.   POSITION SUMMARY The discharge planner provides services related to discharge planning/case management to the acute geriatric psychiatry unit. This includes but not limited to assessment of patients on admission, assistance on social and/or financial resource management, crisis management, service delivery planning and follow-up, and referrals to community-based services and programs. This position also provides individual and group counseling, communicates with families and patient’s authorized representatives, conservators, physicians and other health team members. He/She coordinates discharge planning, assists with advance health care directives, financial and legal issues and maintains documentation of services in the medical record. The discharge planner participates in the development and implementation of the comprehensive treatment plans, leads the weekly reviews and coordinates the discharge plan with the team.   QUALIFICATIONS One (1) year of direct service experience with mentally ill individuals in an inpatient or outpatient setting is required. A Degree in Social Work from an accredited graduate school of Social Work or Behavioral Science or any related field. Necessary skills include the ability to work effectively as a member of a multidisciplinary team, a thorough understanding of client rights, and understanding of the commitment process and knowledge of basic medical and psychiatric terminology. Familiarity with behavioral health resources in the community is desired. Current CPR Card may be required.  Successful completion of applicable background checks is required. The discharge planner should be familiar with the rules and regulations governing psychiatry including appropriate documentation in accordance with all Medicare and Medi-Cal regulations, and should be experienced working with Electronic Medical Records (EMR) and LEAN principles. CLINICAL RESPONSIBILITIES   - Conducts initial screenings for patients and develop appropriate discharge/service plans to address the identified issues. - Plan and execute complex treatment plans from a hospital-based setting. Experienced with Behavioral Health and Recovery Services (BHRS), as well as other mental health community programs. - Knowledgeable of the systems of care related to older adults, mental health, substance abuse, developmental delay, primary care, conservatorship, and probation and parole. - Knowledgeable of housing resources, their requirements for eligibility, and other community services such as In-Home Supportive Services (IHSS), Multipurpose Senior Services Program (MSSP), Institute on Aging (IOA), Health Plan of San Mateo (HPSM), BHRS, and Bridges to Wellness - Knowledgeable about County benefit and entitlement programs, such as Medi-Cal and ACE. - Experienced and comfortable working with the following populations: multi-cultural, homeless, chronic diseases, end-of-life, mental health, domestic violence, and substance abuse disorders. - Able to accurately assess for signs of adult and child abuse and be a mandated reporter. - Able to work in a high-acuity environment under high degrees of stress and meet all deadlines. - Able to develop effective and positive working relationships with community partners such as Aging and Adult Services, BHRS, and HPSM. - Able to develop effective and positive working relationships with community partners such as Aging and Adult Services, BHRS, and HPSM. - An effective communicator to a broad range of stakeholders, including doctors, nurses, conservators, health advocates, families, and patients. - Able to remain calm during crisis situations and perform emergency crisis counseling for families and patients as needed. - Experienced documenting in an EMR. - Able to communicate clearly and concisely. - Participates in patient safety goals including but not limited to: - Maintaining safe environment- participates in unit safety rounds - Fall precautions - Elopement precautions - Assault precautions     KEY RESULT AREAS MISSION, VALUES AND BELIEFS - Demonstrates the AHMC mission, purpose, values and beliefs in everyday language and contact with patients, the public and other staff members.   QUALITY AND QUANTITY OF WORK - Provides safe, effective and efficient implementation of direct care in accordance with established policies, procedures and standards of care. - Establishes and maintains a therapeutic relationship with patients and their families. - Attends and participates in primary therapy, community meetings, family therapy, and groups. - Assumes overall responsibility for discharge planning, including: - Assessing the patient’s readiness for discharge in coordination with the Treatment Team. - Making appropriate referrals for placement, case management and aftercare services, as assigned. - Developing and maintaining an awareness of community resources. - Provides consultation to patients and their families regarding issues arising from the admission, discharge and/or aftercare plan. - Provide direct treatment for assigned patients and families.   TEAM MEMBER PARTICIPATION - Participates as a team member and provides input via reporting observations, concerns and asking appropriate questions. - Reviews and implements patient treatment plans. - Actively facilitates and participates in multidisciplinary team meetings and treatment planning meetings. - Demonstrates knowledge of management of assaultive behavior techniques. - Provides leadership in facilitating the team process. - Provides education/training to other team members as necessary.   ASSESSMENT - Observes, records and reports patient social and psychiatric behavior. - Completes the Psychosocial Assessment for assigned patients as needed. This includes obtaining necessary data regarding the patient’s social and psychological history.   JUDGEMENT, DECISION MAKING AND INITIATIVE - Demonstrates knowledge and proper use of equipment and supplies. - Promotes and assists residents in developing self-help skills.   RELATIONSHIP WITH OTHERS - Demonstrates a good rapport and cooperative working relationships with all members of the team; responds to co-workers with concern and promotes group morale.   QUALITY IMPROVEMENT - Continually focuses on assigned tasks and seeks and implements improvements as necessary. - Understands and demonstrates the safety program in all activities. - Protects residents from behavior that could damage themselves or others. - Practices universal precautions at all times.   PLANNING AND TIME UTILIZATION - Completes and follows through with tasks and assignments, meeting expected deadlines.   ATTENDANCE AND RELIABILITY - Understands and demonstrates knowledge of all policies associated with attendance.   PROFESSIONAL DEVELOPMENT - Attends all assigned in-service education classes. - Role models excellent professional practice. - Always dresses appropriately and professionally. -    Essential Functions: - Work closely with department director, psychiatric medical director, nurse manager and all clinical staff to meet the psychosocial needs of patients and families. - Provides individual and group counseling, communicates with families and the patient’s authorized representatives, conservators, physicians and other health team members. - Responsible for the mandated fire arms reporting to the California Department of Justice on admission for patients’ subject for reporting. - Coordinates discharge planning, assists with advance directives, financial and legal issues and maintains documentation of services in the medical record. - Provides group and individual counseling - Assists physician with completion of legal paperwork/documentation, mindful of individual county time constraints - Participates in the unit QAPI. Reviews indicators for social services on a pre-assigned basis, makes necessary corrections and makes recommendations for improvement. - Assist patients with coordination of complaint/grievance/compliment process. Follows facility policy and procedure and coordinates with program director. - Complete timely assessments and treatment planning - Performs other duties as assigned. - Theft and Loss- participates in the theft and loss program. Implements remedial actions as indicated.  

The Respiratory Care Practitioner II (“RCP II”) is responsible for providing safe, quality respiratory patient care and teaching to patients and families.  Additional responsibilities include collaboration with the health care team, participation in on-going feedback regarding performance improvement, implementation of clinical pathway/plan of care to guide patient care delivery.

The Certified Nursing Assistant (CNA), is a member of the health care team who assists in the delivery of total patient care, under the direction of a Registered Nurse (RN) or Licensed Vocational Nurse (LVN).

Directs, coordinates and evaluates the activities of the following departments: maintenance, facility operations, grounds, biomed, security, safety and emergency management. Serves as the Safety Officer and Emergency Management Officer as well as oversees the Environment of Care, Life Safety, and Emergency Management Chapters for The Joint Commission. Prepares annual operating budgets for these departments; develops policies and procedures; performs personnel administrative functions. Directs the Hospital’s performance improvement activities of each department.  Responsibilities also include the oversight of all construction projects.  It is expected that all regulations and codes related to OSHPD, DHS, OSHA, State, county, city and local agencies will be observed and conformed to.

The Respiratory Care Practitioner II (“RCP II”) is responsible for providing safe, quality respiratory patient care and teaching to patients and families.  Additional responsibilities include collaboration with the health care team, participation in on-going feedback regarding performance improvement, implementation of clinical pathway/plan of care to guide patient care delivery.

The Staff Nurse is a professional caregiver who assumes responsibility and accountability for the assessment, nursing diagnosis, planning, implementation and evaluation of care for patients and their families in compliance with the standards for care at AHMC - Seton Medical Center and Nurse Practice Act.

The position of Rehabilitation Services Managers is responsible for planning, directing, implementing, coordinating and improving the activities of all Respective Services (Physical, Occupation, Speech, and Outpatient Rehabilitation).  This includes staffing and program development in Acute Care, Acute Rehabilitation, and Outpatient Services, at both Garfield Medical Center and Monterey Park Hospital.  All employees are expected to perform their duties in alignment with the vision and values of the organization.  EDUCATION, EXPERIENCE, TRAINING - Entry level degree and appropriate licensure in Allied Health Profession required (Physical Therapy, Occupational Therapy, Speech Pathology). - Minimum five years patient care experience to include acute care, outpatient and inpatient rehab. - Supervisory experience, teaching, training and mentoring experience preferred. - Current BLS. (AHA)

The Critical care Technician under the direct supervision of a registered nurse participates in the delivery of patient care within the critical care environment. This position includes, but is not limited to following the essential functions. Essential functions include; functions within the established policies and procedures of the Nursing Department of Garfield Medical Center, responsibility for collaboration with the RN for efficient, cost effective use of time and equipment, provides care to designated patients and prioritizes based on patient's care requirements as delegated by the RN, an interacts with co-workers, visitors, and other staff consistent with the core values of the Hospital.   EDUCATION, EXPERIENCE, TRAINING   - High School Diploma or equivalent required. - Current BCLS (AHA) certificate upon hire and maintain current. - One year experience in ED or Critical Care preferred. - EKG Certificate upon hire

The Critical care Technician under the direct supervision of a registered nurse participates in the delivery of patient care within the critical care environment. This position includes, but is not limited to following the essential functions. Essential functions include; functions within the established policies and procedures of the Nursing Department of Garfield Medical Center, responsibility for collaboration with the RN for efficient, cost effective use of time and equipment, provides care to designated patients and prioritizes based on patient's care requirements as delegated by the RN, an interacts with co-workers, visitors, and other staff consistent with the core values of the Hospital. EDUCATION, EXPERIENCE, TRAINING   - High School Diploma or equivalent required. - Current BCLS (AHA) certificate upon hire and maintain current. - One year experience in ED or Critical Care preferred. - EKG Certificate upon hire

The Critical care Technician under the direct supervision of a registered nurse participates in the delivery of patient care within the critical care environment. This position includes, but is not limited to following the essential functions. Essential functions include; functions within the established policies and procedures of the Nursing Department of Garfield Medical Center, responsibility for collaboration with the RN for efficient, cost effective use of time and equipment, provides care to designated patients and prioritizes based on patient's care requirements as delegated by the RN, an interacts with co-workers, visitors, and other staff consistent with the core values of the Hospital. EDUCATION, EXPERIENCE, TRAINING   - High School Diploma or equivalent required. - Current BCLS (AHA) certificate upon hire and maintain current. - One year experience in ED or Critical Care preferred. - EKG Certificate upon hire

Candidate will be efficient in performing radiology procedures .Candidate will explain procedures to the patients, comfort, and position patients on the exam table. Candidate will select technique parameters in keeping with ALARA. The candidate will review and evaluate digital images for quality to determine if images are satisfactory for diagnostic purposes. Candidate will have experience in surgical scrub technique or have minimum 2 year experience in Cath Lab and/or interventional procedures and willing to train for scrub technique competencies and function as a scrub tech as required. Willing to rotate on call as required. Candidate will use radiation safety measures and protection devices to comply with government regulations and to ensure safety of patients, visitors, and staff. Candidates’ job skills require excellent written and verbal communication, sensitivity to the physical and psychological needs of patients. Attention to detail and the ability to follow a physician's instructions will be important to the success of working in a team concept. Position requires stamina transporting patients to/from the hospital bed to the Radiology Department. EDUCATION, EXPERIENCE, TRAINING 1. Graduate of an accredited school of Radiology Technology 2. Pass a National Test (ARRT) have certificate 3. State Licensed (CRT) 4. Must hold a current certificate of the CRT 5. Current BCLS required (AHA) 6. Advanced Cardiac Life Support (ACLS), within 90 days of hire. 7. 12 lead EKG course, within 90 days of hire. 8. Previous experience or training in a Cardiovascular Lab; required 9. Cardiovascular technician training program with emphasis in invasive cardiology and hemodynamic monitoring preferred. 10. Certified Cardiovascular Technician, preferred;

Candidate will be efficient in performing radiology procedures .Candidate will explain procedures to the patients, comfort, and position patients on the exam table. Candidate will select technique parameters in keeping with ALARA. The candidate will review and evaluate digital images for quality to determine if images are satisfactory for diagnostic purposes. Candidate will have experience in surgical scrub technique or have minimum 2 year experience in Cath Lab and/or interventional procedures and willing to train for scrub technique competencies and function as a scrub tech as required. Willing to rotate on call as required. Candidate will use radiation safety measures and protection devices to comply with government regulations and to ensure safety of patients, visitors, and staff. Candidates’ job skills require excellent written and verbal communication, sensitivity to the physical and psychological needs of patients. Attention to detail and the ability to follow a physician's instructions will be important to the success of working in a team concept. Position requires stamina transporting patients to/from the hospital bed to the Radiology Department. EDUCATION, EXPERIENCE, TRAINING 1. Graduate of an accredited school of Radiology Technology 2. Pass a National Test (ARRT) have certificate 3. State Licensed (CRT) 4. Must hold a current certificate of the CRT 5. Current BCLS required (AHA) 6. Advanced Cardiac Life Support (ACLS), within 90 days of hire. 7. 12 lead EKG course, within 90 days of hire. 8. Previous experience or training in a Cardiovascular Lab; required 9. Cardiovascular technician training program with emphasis in invasive cardiology and hemodynamic monitoring preferred. 10. Certified Cardiovascular Technician, preferred;

Under general supervision, but not direct supervision, provides the necessary top quality radiograph for diagnosis of patients referred to X-ray Department, will rotate on stand-by schedule as required for radiology coverage.  Performs work related duties as assigned or as required.  Candidate will be efficient in performing radiology procedures .Candidate will explain procedures to the patients, comfort, and position patients on the exam table. Candidate will select technique parameters in keeping with ALARA. The candidate will review and evaluate digital images for quality to determine if images are satisfactory for diagnostic purposes. Candidate will use radiation safety measures and protection devices to comply with government regulations and to ensure safety of patients, visitors, and staff. Candidates’ job skills require excellent written and verbal communication, sensitivity to the physical and psychological needs of patients. Attention to detail and the ability to follow a physician's instructions will be important to the success of working in a team concept. Position requires stamina transporting patients to/from the hospital bed to the Radiology Department.  Candidate will be required to rotate on call and work variable shifts and weekends Candidate will use radiation safety measures and protection devices to comply with government regulations and to ensure safety of patients, visitors, and staff. Candidates’ job skills require excellent written and verbal communication, sensitivity to the physical and psychological needs of patients. Attention to detail and the ability to follow a physician's instructions will be important to the success of working in a team concept. Position requires stamina transporting patients to/from the hospital bed to the Radiology Department.  Candidate will be required to rotate on call and work variable shifts and weekends EDUCATION, EXPERIENCE, TRAINING - Graduate of an accredited school of Radiology Technology - Pass a National Test (ARRT) - State Licensed (CRT) - Must hold a current certificate of the CRT - Current BCLS required (AHA) - Must hold a current Fluor certification - At least one year of experience as a Radiology Technologist preferred, or was assigned student rotation with Garfield Medical radiology program.  (If new Grad will have 6 months to obtain fluro certification.) 

The Staff Nurse is a professional caregiver who assumes responsibility and accountability for the assessment, nursing diagnosis, planning, implementation and evaluation of care for patients and their families in compliance with the standards for care at AHMC - Seton Medical Center and Nurse Practice Act.   The Resource Nurse is a professional caregiver who assumes responsibility and accountability for an individual or group of patients during a designated time frame.  The Resource Nurse provides care of patients and their families in compliance with the policies and procedures and standards for care at Seton Medical Center, Daughters of Charity and Nurse Practice Act.

Under general supervision, but not direct supervision, provides the necessary top quality radiograph for diagnosis of patients referred to X-ray Department, will rotate on stand-by schedule as required for radiology coverage.  Performs work related duties as assigned or as required.  Candidate will be efficient in performing radiology procedures .Candidate will explain procedures to the patients, comfort, and position patients on the exam table. Candidate will select technique parameters in keeping with ALARA. The candidate will review and evaluate digital images for quality to determine if images are satisfactory for diagnostic purposes. Candidate will use radiation safety measures and protection devices to comply with government regulations and to ensure safety of patients, visitors, and staff. Candidates’ job skills require excellent written and verbal communication, sensitivity to the physical and psychological needs of patients. Attention to detail and the ability to follow a physician's instructions will be important to the success of working in a team concept. Position requires stamina transporting patients to/from the hospital bed to the Radiology Department.  Candidate will be required to rotate on call and work variable shifts and weekends Candidate will use radiation safety measures and protection devices to comply with government regulations and to ensure safety of patients, visitors, and staff. Candidates’ job skills require excellent written and verbal communication, sensitivity to the physical and psychological needs of patients. Attention to detail and the ability to follow a physician's instructions will be important to the success of working in a team concept. Position requires stamina transporting patients to/from the hospital bed to the Radiology Department.  Candidate will be required to rotate on call and work variable shifts and weekends    EDUCATION, EXPERIENCE, TRAINING - Graduate of an accredited school of Radiology Technology - Pass a National Test (ARRT) - State Licensed (CRT) - Must hold a current certificate of the CRT - Current BCLS required (AHA) - Must hold a current Fluor certification - At least one year of experience as a Radiology Technologist preferred, or was assigned student rotation with Garfield Medical radiology program. 

Responsible for maintenance, installation and repairs of all Biomedical equipment.  Assists in making decisions on new equipment and systems.  Assists the Director of Plant Operations as needed.  Conforms to latest code requirements. Also be called to perform other duties. EDUCATION, EXPERIENCE, TRAINING   - High school graduate, 2 yrs college in Electronic Engineering. Graduate from an accredited Bio-medical school or a minimum of five years Biomedical, electronics experience, a BMET certification, (AAMI) desirable.

Facilitates, Coordinates, Provides PA&I functions. EDUCATION, EXPERIENCE, TRAINING - Registered Nurse. - -Knowledge of and ability to use Excel, Word, web-based programs and Outlook and learn new programs - -2 yrs. acute hospital experience - -Medical terminology - -Ability to work independently with little supervision - -Ability to multitask and prioritize - -Strong communication skills and the ability to effectively work with a diverse group of individuals. - -Ability to assess and analyze data and compile reports with guidance from the ICP. - Critical care experience required.   Responsibilities: Review all admissions for focused criteria (current and any future core measures or other initiatives) Concurrent review for all admission, continued stay and discharge indicators Follow core measure patients after DC to prevent readmission. Identifies failures in the DC system and recommends solutions to try and prevent readmissions. Communicates with physicians for improved documentation to demonstrate best practice in the care of these patients Works directly with PACE Team leaders to present identified process improvements utilizing aggregate data Assists in preparing team leaders to present findings at IOP committee timely Provides ongoing education to staff and physicians related to best practice Participates in appropriate team activities Utilizes effective critical thinking skills; organization, prioritization, planning, personnel management, operational efficiency, decision-making, and teaching Participates in concurrent and retrospective audits and data abstraction of assigned patients and records.   Participates in concurrent and retrospective audits and data abstraction of CATH/PCI/TAVR patients and records.   Identifies failures in the CATH/PCI system for improvement. Recommends solutions. Completes data abstraction timely Presents data to medical staff committees for improvement and education Review all fall outs for lack of compliance and educate as appropriate Become expert for best practice, documentation and abstraction Acts as a liaison and resource with hospital staff providing education on Quality Initiatives

The Lead Clinical Educator is accountable to the Education Department Director.   The instructor responsibility is to plan, provide and/or facilitate professional growth and development of hospital staff through the didactic process, role model and or clinical education process.   The Lead Clinical Educator responsibility is to support the delivery of safe patient care through the nursing process of assessment, nursing diagnosis, planning, implementation and evaluation based on established clinical nursing practice standards.   Serves as a resource nurse, role model, and leader in health care administration.   Supports the organizational vision and mission.  Utilizes knowledge of patient’s age and cultural diversity into the education process for both staff and patients.  Contributes to the provision of quality of care through support of performance improvement processes that lead to positive outcomes in patient care. EDUCATION, EXPERIENCE, TRAINING   - Must be a graduate of an accredited School of Nursing - Currently RN licensed to practice nursing in California - A minimum of four years of acute care experience with teaching experience preferred. - Basic Life Support for Health Care Provider (CPR) current, instructor certifications in BLS, ACLS, PALS, &/or NRP preferred. - MSN Degree preferred

The Staff Physical Therapist provides Physical Therapy evaluations to patients under the referral of a physician. Plans and implements specific treatment programs for individual patients according to the principles and practices of physical therapy. Collaborates with interdisciplinary treatment team.  Provides supervision and direction for the Physical Therapist Assistant (PTA) and Rehab Aide.  The Staff Physical Therapist reports to the Senior Physical Therapist and/or Physical Therapy Manager and/or Director of Rehabilitation.  The Staff Physical Therapist supervises Physical Therapist Assistants, and Rehab Aides.

The Staff Pharmacist ensures the appropriate, safe, and effective use of medications in a cost-efficient manner. Physician orders and medication profiles are evaluated and processed to facilitate the prompt and accurate delivery of medications to patients. Drug information is provided to health care professionals and patients to assist in providing rational drug therapy. EDUCATION, EXPERIENCE, TRAINING   - Current State of California Pharmacist License - Bachelor of Science Degree in Pharmacy preferred. - Doctorate of Pharmacy Degree. - One year of post-graduate residency training (preferred). - One year of acute care hospital experience (preferred). - Current and maintain updated BCLS Card (AHA) within 30 days of hire.