Expert Discharge Plan Manager

UPMC; Pittsburgh (Allegheny County); On-site; USD 54,000 - 74,000; Part time

Benefits offered by this job

Sign-on bonus

Career ladder

Flexible schedule

Paid time off

Holiday pay

Tuition assistance

Job summary

UPMC Mercy is seeking a Part-time Discharge Plan Manager (RN or social worker) to join the Clinical Care Coordination and Discharge Planning team. You will coordinate post-discharge needs, engage multidisciplinary care teams, and develop efficient discharge plans.

The role offers a sign-on bonus potential, a two-track career ladder for nurses and social workers, flexible schedules, generous PTO and holidays, and tuition assistance to support your professional growth.

Qualifications

• Must be an RN or social worker with care coordination or discharge planning experience.
• Strong ability to coordinate multidisciplinary care teams and develop discharge plans.

Responsibilities

• Identify clinical, psychosocial, financial, and care needs to plan safe discharge.
• Assess patient comprehension and resources to support post-discharge needs.
• Coordinate with care teams to arrange post-hospital services before discharge.
• Communicate with patients, families, and providers to ensure smooth transitions.
• Serve as liaison between hospitals and post-acute care facilities.

Skills

Care coordination

Discharge planning

Case management

Care management

Education

Registered Nurse (RN)

Social Worker

Job description

UPMC Mercy is hiring a Part time Discharge Plan Manager!

Are you an RN or social worker interested in care management, case management, or care coordination? UPMC is proud to announce the new Clinical Care Coordination and Discharge Planning team, dedicated to caring for patients throughout their UPMC treatment journey.

Become part of a multidisciplinary team committed to improving care coordination and developing more efficient, progressive discharge planning processes, and let UPMC help you succeed through offerings that include:

• 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
• And much more!

Title/Salary will be determined at time of offer and will be commensurate with experience. Pay range/Qualifications shown are for Expert Discharge Plan Manager. Discharge Planning Associate is the entry level title and the starting rate is $26.17/hour.

Purpose

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. This optimal discharge plan reviews discipline recommendations and coordinates necessary care for positive patient outcomes outside of the inpatient setting. The Expert Discharge Plan Manager provides training and mentorship to less experienced staff.

Responsibilities

• Identify clinical, psychosocial, historical, financial, cultural, and spiritual needs that guide the planning process with the patient to attain optimal outcomes. Take patient/family/caregiver level of health literacy into consideration. Evaluate patient/family/caregiver level of understanding and engagement with the progress toward goals and incorporate findings into the plan of care. Balances 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. Adheres 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.