Title: Admissions and Discharge Manager - RN

State Role Title: 49115

Hiring Range: $96,564 - $133,259; Salary to commensurate with experience

Pay Band: 5

Agency: Dept Behavioral Health/Develop

Location: Hiram Davis Medical Center

Agency Website: hwdmc.dbhds.virginia.gov

Recruitment Type: General Public - G

Job Duties

HWDMC is a 94-bed medical facility that provides acute medical diagnosis, skilled, intermediate and long term care to individuals receiving services in facilities operated by the Commonwealth of Virginia’s Department of Behavioral Health and Developmental Services, as well as individuals with intellectual and/or developmental disabilities within the community. We have been awarded the Joint Commission’s Gold Seal of Approval and Centers for Medicare and Medicaid Services (CMS) 5-Star Rating. We are dedicated to providing outstanding treatment and improving our patient’s and resident’s health and quality of life. This commitment means that we strive to be a leader in medically complex care and to ensure our team is comprised of well-trained and patient-centered staff and providers.

Hiram W. Davis Medical Center is currently recruiting an Admissions and Discharge Manager RN to provide management of the admissions process to all levels of inpatient care (General Medical, Nursing Facility, and Skilled Nursing) and the discharge process for individuals with ID/DD discharging to community placements. The Admissions and Discharge Manager provides oversight and training of the admissions and discharge processes with the LPN Admissions and Discharge Coordinators while assisting with these caseloads as well. This position provides marketing to other DBHDS facilities and external stakeholders (hospitals, CSBs, families, guardianship programs, and private providers). The manager must communicate effectively within the facility to interdisciplinary team members as well as with external stakeholders.

Job Duties:
- Performance management of employees supervised
- Responsible for directing, coordinating, and integrating all Admissions & Discharge department services
- Provides direct/indirect administrative and clinical guidance, direction, and leadership to the Admission & Discharge Coordinators (LPNs).
- Manages and monitors staff’s job performance through established administrative and clinical processes and gives feedback.
- Responsible for planning and recruiting an adequate number of personnel to fulfill the service delivery needs of the department.
- Responsible for oversight of fund expenditures for departmental budgets.
- Responsible for establishing, annually reviewing, and revising as needed all policy and procedures to ensure compliance.
- Assures integration of services by establishing collaborative practice with Medical Staff, Nursing, Ancillary, and Administrative services. Establishes good working relationship and fosters good communication among integrated services.
- Familiar with requirements/criteria for all Nursing Home levels of care at HWDMC – Nursing Facility and Skilled Nursing Facility.
- Educates external stakeholders in services HWMDC provides and process for admission.
- Collects and reviews pertinent information to assist in the decision of appropriateness of admission. Provides information to Medical Director and seeks approval. Consults with the Chief Nurse Executive as needed regarding appropriateness or needs of an admission.
- Screens admissions for complications beyond the capacity of HWDMC. Seeks approval from the Facility Director before denying admission to the facility.
- Coordinates admission through facilitating communication between the discharging facility and HWDMC, disseminating information to the HWDMC interdisciplinary team, facilitating pre-admission meetings as needed, and coordinating with Forensic/Security staff of other DBHDS facilities regarding the legal aspects of admission as needed.
- Schedules admissions when possible. This is done by balancing the needs of the facility, the community, the resident/patient, and the physician.
- Coordinates and leads discharge process to the community for Nursing Home ID/DD residents with all team members, CSB, AR/LG, residential provider, Community Integration Manager, and other community providers as needed.
- Coordinates team meetings, and works with providers, CSBs, families, ARs/LGs, Durable Medical Equipment (DME) vendors, and pharmacies to ensure supports are in place before discharge.
- Coordinates training needs for discharge as needed.
- Conducts Post Move Monitoring for the ID/DD discharge process to community placements.
- Manages documentation for this process including discharge planning, training, visitation, and post move monitoring documents as well as prescriptions, orders, and letters of need.
- Provides consultation to HDMC Social Workers upon request re: the medical needs of residents and patients on their caseloads needed for discharge.
- Participates in weekly Discharge Update Meeting reviewing SNF/NF residents with ID/DD who will discharge to the community with CIM, Clinical Director, and Social Work Department.
- Other duties assigned

Minimum Qualifications

- A valid Virginia RN license
- Clinical experience in a Hospital and Nursing Facility.

KSA's required to perform the job successfully:
This position requires excellent oral and written communication skills and requires someone with a positive attitude, who is friendly and comforting and must be able to interact with others with ease. This position must be able to work interactively with all clinical disciplines and establish effective interpersonal relationships. Computer skills, including comfort with using Microsoft Office Suite, are required. Close attention to detail and good organizational skills are required.

Additional Considerations

Experience in nursing at the professional level coupled with experience in Admissions & Discharge nursing, psychiatric nursing, geriatric nursing, rehabilitative nursing and or nursing care of the intellectual disabled.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

Applicants must list all relevant experience that you wish to be considered for this position. Applicants will be provided confirmation of receipt when your application and/or resume is submitted. Please refer to “Your Application” in your account to check the status of your application for this position.

A fingerprint-based criminal history check and reference checks are required for the selected candidate for this position. Under Virginia Code §37.2-314 and 37.2-408.1, the Department of Behavioral Health and Developmental Services is prohibited from employing or using as volunteers, persons who have been convicted of specific “barrier” crimes or persons who may be the subject of pending “barrier” charges.

DBHDS facilities are no longer required to ensure that all staff members are vaccinated against COVID-19. However, facilities encourage and educate staff on the benefits, and continue to offer COVID-19 vaccination programs to staff, residents/clients. Employees may be required to disclose immunization status for purposes of infection prevention and/or management of outbreaks. Upon acceptance of a job offer, new recruits will be asked to disclose their vaccination status (and for those fully vaccinated, proof of vaccination) during the pre-employment process. If you have any questions, contact the Office of Human Resources.

Commonwealth’s Alternate Hiring Process: In support of the Commonwealth’s commitment to inclusion, individuals with disabilities are encouraged to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their Certificate of Disability (COD) provided by a Certified Rehabilitation Counselor with the Department of Aging and Rehabilitative Services (DARS). Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS, to get their Certificate of Disability. To obtain a Certificate of Disability go to: https://www.vadars.org/drs/cpid/PWContact.aspx, or call DARS at 800-552-5019.

Reasonable accommodations are available to persons with disabilities during the application and/or interview process per the Americans with Disabilities Act. Contact Human Resources at (804)524-7600 for assistance.

DBHDS is an equal Opportunity Employer. Employment opportunities are open to all regardless of race, sex, color, national origin, religion, age, veteran status, political affiliation, genetics, or disability. Minorities, Individuals with Disabilities, Veterans, and people with National Service experience are encouraged to apply. EEO/AA/TTY.

Contact Information

Name: Hiram Davis Medical Center

Phone: 8045247437

Email: HiramHR@dbhds.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.