Discharge Plan Manager (Part-time)

Discharge Planning Manager Or Associate

Are you an RN or social worker interested in care management, case management, or care coordination? UPMC Altoona is seeking a part-time Discharge Planning Manager or Associate to join the Clinical Care Coordination and Discharge Planning team, dedicated to caring for patients throughout their UPMC treatment journey.

In this model, roles are reimagined and expertise is combined to deliver the best care and personalized experiences for our patients. RNs and social workers function equally in discharge plan roles, serving as the central point of contact through a patient's care delivery, in partnership with a Physician or APP.

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:

• A $3,000 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 weeks of paid time off and 7 paid holidays
• $3,000/year in tuition assistance to help you get where you want to be
• And much more!

Individuals will be hired into the appropriate job title and salary within the Discharge Planning career ladder, based on experience and education.

Responsibilities:

• Identify clinical, psychosocial, historical, financial, cultural, and spiritual needs that guide the planning process with the patient to attain optimal outcomes.
• 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.
• 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.
• Provide staff orientation and mentoring as appropriate.

Qualifications:

• Diploma or associate degree in nursing and active Registered Nurse license.
• At least one year of experience in discharge planning/care coordination required OR Bachelor'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 required. Master's degree preferred.
• At least one year of experience in discharge planning/care coordination required for the Discharge Plan Manager role. No experience required for the Discharge Planning Associate role.
• 2 years experience in a health care related field strongly preferred.
• Prior case management/care coordination experience preferred.
• Knowledge and skills: Must possess knowledge in navigating communications with payer sources and programs. Possess knowledge and understanding of regulatory guidelines. Must be skilled in planning/organization, follow up/control, delegation. Problem solving, self-development, organizational behaviors/competencies. Must be able to read, understand, analyze, and interpret medical record documents. Must possess the ability to apply principles of logic and critical thinking to a wide range of problems and to deal with a variety of abstract and concrete variables. Demonstrate ability to function independently, taking initiative to be proactive and drive a discharge plan while working with a multi-disciplinary team. Be able to lead care teams to develop and execute safe and efficient discharge plans. Maintain knowledge about area resources and their capabilities and capacities as well as various types of service providers available. Demonstrate understanding of inpatient care setting operations. Ability to manage multiple priorities in a fast-paced environment.
• Licensure, Certifications, and Clearances:
• For Discharge Plan Manager role: Licensed Bachelors Social Work (LBSW) OR Licensed Clinical Social Worker (LCSW) OR Licensed Social Worker (LSW) OR Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse (RN)
• Registered Nurses employed in this position are required to maintain active RN license. OR Those without an active RN license, an LBSW or other related healthcare professional license required. CCM or ACM or other nursing or social work certification preferred.
• No license required for Discharge Planning Associate role (RNs must obtain licensure).
• Act 34

*Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.

UPMC is an Equal Opportunity Employer/Disability/Veteran