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As a key member of the financial team, the Discharge Co-ordinator will work with the wider Finance Operations function to ensure we are building and maintaining strong partnerships with our clinical staff and associated billing providers. The position will require frequent interaction with patient data, clinical staff, and other key stakeholders. It is a pivotal role in terms of taking an analytical view and help mitigate against long staying patients and associated write offs due to medical necessity. The position requires a participatory approach to the development of services and structures, embracing continuous quality improvement and the management of changes necessary to achieve organisational objectives.
Job Responsibility:
Complete early assessment of patients’ medical, social, and functional needs
Identify potential barriers to discharge and plan solutions proactively
Assess suitability for home, rehabilitation, or step-down facilities
Attend ward rounds or MDT meetings to review progress and confirm discharge goals
Communicate and update discharge plans with consultants, nurses, therapists, and social workers
Provide clear information about discharge timelines, expectations, and required supports
Educate patients/families on medications, follow-up appointments, and self-care needs
Facilitate shared decision-making for discharge destinations
Communicate the potential financial exposure for each admission to the Head of Finance Operations, patient and their nominated representatives
Liaise with the hospital’s finance and insurance teams regarding patient coverage and eligibility
Confirm private medical insurance approval for ongoing care, step-down facilities, or equipment where applicable
Communicate funding limits, co-payments, or out-of-pocket costs to patients and families
Ensure discharge plans align with insurance authorisations and financial constraints
Coordinate with insurers for extensions, additional services, or appeals if delays occur
Escalate financial or insurance issues that may impact timely discharge
Collaborate with billing teams to ensure accurate documentation for insurance claims
Monitor patients nearing discharge to support efficient bed utilisation
Escalate delays or complex cases impacting patient flow
Support targets such as early-day discharges and reduced length of stay
Document all discharge planning actions, discussions, and service arrangements
Maintain accurate records for internal tracking, regulatory compliance, and audits
Report on key performance indicators (KPIs) related to discharge efficiency
Ensure discharge processes comply with hospital policies, HIQA standards, and HSE guidelines
Participate in quality improvement initiatives, audits, and discharge planning reviews
Identify risks or gaps in the discharge process and propose improvements
Provide guidance to ward staff on discharge planning best practices
Educate new or junior staff regarding discharge procedures and documentation
Serve as a resource for complex discharge cases
Address delays caused by service shortages, funding issues, or social factors
Advocate for safe and appropriate discharge arrangements
Support vulnerable or high-risk patients to ensure continuity of care
Take personal responsibility for own professional development and keep up to date with evidence based practice and research
Attend and participate in staff development programmes on an ongoing basis
Assist with the orientation and induction of new staff and be available to provide orientation as deemed necessary, helping them to integrate as members of the Unit team
Attend all mandatory training days and ensure that all mandatary training is in date
Comply with all HR system and policy requirements
Ensure that there is compliance with all relevant Blackrock Health Hermitage Clinic guidelines, policies, procedures and relevant legislation and regulatory requirements
Participate in the requirements of the hospitals accreditation process
Participate in the requirements of the hospital’s risk management programme
Promote the delivery of a high standard of care to all patients
Encourage evidence-based practice and assist in the dissemination and implementation of research findings
Requirements:
2 years working in a healthcare setting
Working in a team environment
Experience in dealing with patients/customers
Self-starter
High attention to detail
Ability to analyse high volumes of information
Advanced knowledge of MS Excel
Relationship building with internal and external personnel
Team player with the ability to work on own initiative
Able to prioritise and multi-task
Process Based Approach
Ability to work to deadlines
Nice to have:
Hospital Experience within either a Finance Department or clinical setting