Senior Discharge Plan Manager (RN or Social Worker) UPMC Shadyside

UPMC; Pittsburgh (Allegheny County); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Sign-on bonus

Career ladder for nurses and social/HS

Flexible schedule

Paid time off and holidays

Tuition assistance

Job summary

UPMC Shadyside seeks a Senior Discharge Plan Manager to lead care coordination and discharge planning. You will oversee safe transitions from inpatient care to home or other settings, coordinating with patients, families, and providers to craft personalized discharge plans that address medical, social, and logistical needs.

The role emphasizes patient advocacy throughout discharge, ensuring concerns are heard and addressed, with a focus on timely, safe transitions and collaborative team care.

Qualifications

• RN license required.
• BSN required (10 years experience may substitute).
• MSW or master’s degree required (10 years experience may substitute).
• CCM/ACM or other nursing/social work certification preferred.

Responsibilities

• Coordinate discharge planning from admission to post-discharge.
• Advocate for patient/family access to services and protection of health and rights.
• Identify patient needs to guide discharge planning for optimal outcomes.
• Complete detailed assessments to determine self-care capacity and post-hospital needs.
• Collaborate with a multidisciplinary team to develop an individualized transition plan.

Skills

RN license

MSW

Care coordination

Education

BSN required

MSW or master’s degree

Job description

Are you an RN or social worker interested in care management, case management, or care coordination? UPMC Shadyside is looking for a Senior Discharge Plan Manager to support their Clinical Care Coordination and Discharge Planning department!

The role of a Discharge Plan Manager will allow you to become a vital member of our team! The successful candidate will be responsible for the safe and smooth transition of our patients to their homes or other care settings. A Discharge Plan Manager works collaboratively with healthcare providers, patients, and their families to create personalized discharge plans that address the medical, social, and logistical needs of each individual.

Be an advocate for patients’ needs and preferences throughout the discharge planning process, ensuring that their voices are heard and their concerns are addressed.

• 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!

Responsibilities

• Work with patients throughout their treatment journey — from day one of admission to post-discharge — to ensure patients are prepared for a successful discharge and achieve continued improvement following inpatient care.


• Advocate on behalf of patient/family/caregivers for access to services and for protecting the patient's health, well-being, safety, and rights.


• Identify clinical, psychosocial, historical, financial, cultural, and spiritual needs that guide the planning process with the patient to attain optimal outcomes.


• Complete detailed patient assessments to determine patients' capacity for self-care, identify support systems, outline barriers to discharge, and determine the likelihood that patients will require post-hospital services and the availability of those services.


• Collaborate with a multidisciplinary team to coordinate an individualized, safe, efficient care plan.


• Integrate patients' goals, the health care team's assessment, risks, and available resources to develop and coordinate a successful transition plan.


• Serve as a liaison between patients and the care team. Incorporate discipline-specific recommendations, test results, and outstanding orders into the discharge plan and respond to the progression of discharge milestones.


• Maintain knowledge of resources in the area, their capabilities and capacities, and service providers available.


• Ensure appropriate arrangements for post-hospital care will be made before discharge and work to avoid unnecessary delays in discharge.


• Serve as a contact between hospitals and post-hospital care facilities and the physicians who provide care in both settings.

Discharge Planning Experience

• Coordination of a patient's clinical care needs from either an inpatient hospitalization to outpatient; from a post-discharge facility to a home or assisted living facility; and/or coordination of resources to assist patients from an outpatient MD office.


• Includes, but is not limited to, insurance authorizations ( medication, transportation, alternate level of care), coordination of care to alternate levels of care ( skilled nursing homes, Inpatient rehab, home, including transportation), initiating and organizing hemodialysis, coordinating inpatient hospice, home hospice or skilled nursing with hospice; and obtaining information and connecting patients to appropriate outpatient regional resources.

Nurse Track

• BSN required. 10 years of experience can be substituted for BSN completion.

Non-Nurse Track

• MSW or master's degree in another health and human services field that promotes the physical, psychosocial, and/or vocational well-being of those being served is required.


• 10 years of experience can be substituted for MSW completion.

Licensure, Certifications, and Clearances

Nurse Track

• RN license required.

Non-Nurse Track

• LSW/LCSW or education-appropriate license required.


• CCM/ACM or other nursing or social work certification preferred.

Other

• Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR)


• Act 33 with renewal


• Act 34 with renewal


• Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran

Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.