Discharge Planner

Job Description Summary ‎ Hours & Location: Full Time: Monday-Friday EST Fully Remote position Coordinates discharge planning and care transition activities for hospitalized patients within the Millennium Physician Group Hospitalist program. Assesses discharge needs, collaborates with physicians, nurses, case managers, patients, families, and community providers, and facilitates appropriate post-acute services to promote safe, timely transitions from the hospital. Supports continuity of care by coordinating services, educating patients and caregivers, addressing barriers to discharge, and ensuring compliance with regulatory and organizational requirements. The Discharge Planner I, Hospitalists - MPG performs professional clinical work under established policies, evidence-based practices, and interdisciplinary care processes. Exercises clinical judgment in coordinating routine and moderately complex discharge plans, escalating higher-risk situations and complex psychosocial or medical issues as appropriate. Work primarily impacts individual patient outcomes, care transitions, and operational efficiency. ‎ How will you make an impact & Requirements ‎ Key Responsibilities • Assess patients' discharge planning needs through review of medical records, interdisciplinary collaboration, patient interviews, and evaluation of clinical, functional, psychosocial, and environmental factors affecting post-discharge care. • Develop and coordinate individualized discharge plans that