Discharge Plan Manager

About the role

This position mainly works Monday-Friday from 8am-4:30pm with 6 weekend shifts per quarter.

Responsibilities

• Identify clinical, psychosocial, historical, financial, cultural, and spiritual needs that guide the planning process with the patient to attain optimal outcomes.
• Evaluate patient/family/caregiver level of health literacy and understanding, and incorporate findings into the plan of care.
• Balances resources with patient preferences and goals of care, and evaluates the potential impact of social determinants of health.
• Complete detailed assessment on every patient to establish understanding of medical and social factors, determine patient’s capacity for self-care, identify support systems, outline barriers to discharge, and determine likelihood of requiring post-hospital services.
• Continually reassess discharge plan for factors that may affect continuing care needs or the appropriateness of the discharge plan.
• Facilitate teams to develop and execute safe and efficient discharges, maintain knowledge about area resources and service providers, ensure appropriate arrangements for post-hospital care, and avoid unnecessary delays in discharge.
• Engage in clear communication with the patient/member/caregivers and the interdisciplinary care team to develop discharge plans, serve as a liaison between the patient and the care team, and actively collaborate with the care team to coordinate an individualized plan of care.
• Serve as a contact between hospitals and post-hospital care facilities, and recognize and demonstrate shared accountability in the development of a discharge plan.
• Align practice with the mission, vision, and values of the organization, adhere to ethical standards and codes of conduct, and ensure compliance with regulatory requirements.
• Advocate on behalf of patient/family/caregivers for services access and for the protection of the patient’s health, well-being, safety, and rights.
• Manage cost of care with the benefits of patient safety, clinical quality, risk, and patient satisfaction to provide recommendations and decisions that ensure optimal outcomes.
• Embrace and incorporate innovation and technology to improve collaboration and patient outcomes.
• Document care in patient medical chart.
• Assist in operational activities for the department including staff orientation, mentoring, and other issues.

Qualifications

• At least three years of experience in discharge planning/care coordination, including coordination of a patient’s clinical care needs in various settings such as inpatient, outpatient, post-discharge facilities, home or assisted/skilled living facilities, rehab, hospice; conducting insurance authorizations, obtaining information, and connecting patients to appropriate outpatient regional resources, etc.
• RN Qualifications: BSN or 10 years of experience required
• Social Worker Qualifications: Master’s degree in social work or another health or human services field required

Career Growth

Grow Your Nursing Career - UPMC offers a My Nursing Career Ladder to support career advancement, with two tracks to support both nurses and social workers.

INSURANCE SERVICES DIVISION OF UPMC

A career with UPMC means more than just caring for patients – when you’re a part of UPMC Insurance Services Division, it means caring for more than four million insurance members, too. UPMC Insurance Services Division offers a full range of health insurance products and services to our network across the country, providing peace of mind, better health, and financial security to our members, along with limitless career opportunities and a rewarding mission to those on our team.

Benefits and Life at UPMC

We know that you have many options when choosing where to build your career. So why choose UPMC? We can think of a few reasons:

• Work-Life Balance
• Development & Opportunities
• Compensation
• Performance & Recognition