**Employment Type:** Full time **Shift:** Day Shift **Description:** Responsible for facilitating patient transfer and/or transportation to alternative care settings i.e., Extended Care Facilities (ECF's), home, home with ongoing therapy, based on referral from Social Worker, Case Manager or Patient Logistic Practitioner (PLP). Coordinates the referral and transfer of patients in an efficient and cost effective manner. Provides quality patient care considering age specific, developmental and cultural needs. Demonstrates unit/ area designated competencies **What the Discharge Planning Assistant will need:** + Minimum: High School diploma required or equivalent and one year of specialized training including medical. + Minimum: One or two years related experience. + Interpersonal skills necessary to communicate effectively with Social Work/ Case Managers/ PLP department staff, and external agencies when gathering and exchanging appropriate patient information. + Analytical skills necessary to gather and document patient clinical status and to facilitate transfer of patient. + Organizational skills in order to assess urgency and complexity of referral and to facilitate appropriate and timely patient transfer. **What the Discharge Planning Assistant will do:** + Completes screening of patients medical records and documentation of relevant clinical information via continuity of care tools i.e., ECF forms, and maintains accurate record of status of activities related to discharge plan. + Facilitates referrals to community agencies as directed by Social Worker/Case Manager/ PLP arranging transfer and /or transportation of patients to ECF's or home care settings with external agencies i.e., ECF, ambulance, wheelchair van. Collaborates with Social Worker/ Case Manager/ PLP to facilitate appropriate placement of patients to ECF's based on data obtained via Social Worker/ Case Manager/ PLP patient medical record, PCIS, i.e., medical needs, reimbursement sources, patient/ family choices. + Communicates with ECFs to facilitate appropriate patient placement taking into consideration patient/family choice, patient clinical condition and needs, and patient insurance coverage. + Investigates patient's insurance coverage for long term care and/ or outpatient care, as needed to facilitate resolution of insurance coverage issues related to ECF transfer. + Develops strong working relationships with various community agencies in order to promote expedient transfers. + Maintains awareness of State and Federal Regulations and reimbursement issues as they pertain to continuity of care needs, ECF planning, and/ or transportation process **Our Commitment to Diversity and Inclusion** Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran