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