Discharge Plan Manager, Part Time

About the role

UPMC is hiring a Part time Discharge Plan Manager. The Expert Discharge Plan Manager functions as the coordinator and is accountable for all post-discharge needs and acts as financial steward for the hospital by assessing for relevant factors, engaging with the care team, and placing a focus on an optimal discharge plan with timely utilization of hospital resources.

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 understanding and engagement with the progress toward goals and incorporate findings into the plan of care.
• Balance resources with patient preferences and goals of care.
• Evaluate the potential impact of social determinants of health that may elevate the risk of a poor transition.
• Complete detailed assessment on every patient in order to establish understanding of medical and social factors, determine patient's capacity for self-care, identify support systems, outline barriers to discharge, and determine likeliness of requiring post-hospital services and the availability of such 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 their capabilities and capacities as well as various types of service providers available.
• Ensure appropriate arrangements for post-hospital care will be made before discharge and work to avoid unnecessary delays in discharge.
• Integrate patients' goals, the health care team's assessment, risks and available resources in order to develop and coordinate a successful transition plan.
• Engage in clear communication with the patient/member/caregivers as well as the interdisciplinary care team in order to develop discharge plans.
• Serve as a liaison between the patient and the care team.
• Actively collaborate with the attending practitioner, caregivers, and other members of the multidisciplinary team to coordinate an individualized plan of care.
• Incorporate discipline-specific recommendations, test results, outstanding orders into discharge plan and monitor/revise and respond to the progression of discharge milestone.
• Serve as a contact between hospitals and post-hospital care facilities as well as the physicians who provide care in either or both of these settings.
• Recognize and demonstrate shared accountability in development of a discharge plan with the patient/member/caregiver as well as with team members to ensure optimal outcomes.
• Align practice with the mission, vision, and values of the organization.
• Adhere to ethical standards and codes of conduct of applicable professional organization and UPMC.
• Maintain clinical knowledge of and ensures 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.
• Demonstrate skilled expertise in discharge planning functions.
• Lead process improvement initiatives.

Requirements

At least four years of experience in discharge planning/care coordination is required. This may include but is not limited to: 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 (medication, transportation, alternate level of care), obtaining information and connecting patients to appropriate outpatient regional resources, etc.

Qualifications

RNs: BSN required. Social Workers: Master's degree in social work or another health or human services field that promotes the physical, psychosocial, and/or vocational well-being of those being served is required. Licensure, Certifications, and Clearances: CCM or ACM or other nursing or social work certification is required. RN License required for RNs, LSW/LCSW or other related healthcare professional license required for Social Workers.

Benefits

• Up to a $10,000 sign-on bonus for eligible roles with a two-year work commitment.
• A designated career ladder designed to support career advancement, with two tracks to support both nurses and social workers.
• Flexible schedule options to make your career work for you.
• Up to 5 ½ weeks of paid time off and 7 paid holidays.
• $6,000/year in tuition assistance to help you get where you want to be.