Manager, Clinical Care Coordination and Discharge UPMC Memorial

UPMC•York, PA

3d•$42 - $65•Onsite

About The Position

UPMC is hiring a Manager to lead the Clinical Care Coordination and Discharge Planning team at its UPMC Memorial campus in York. This full-time, day-shift position does not require weekends or holidays. The pay range is $42.14–$65.31. Under the direction of the Director, the Manager oversees the department’s day-to-day operations and is accountable for achieving established goals and targets by engaging multiple disciplines and associates. The role leads the evaluation, development, implementation, redesign, and modification of discharge planning practice standards. In partnership with department staff, the Manager helps move patients safely, effectively, and efficiently across the continuum of care.

Requirements

Master’s degree required.
At least five years of experience in discharge planning, care coordination, or similar experience managing departmental operations.
At least one year of leadership experience.
Expertise in care management, discharge planning, and utilization review processes.
Ability to build credible, effective relationships with physician and executive leadership.
Understanding of clinical, financial, and regulatory processes.
Ability to prepare and critically analyze data, recommend appropriate resolutions, and follow through on identified actions.
Expertise in interpersonal relationships and organizational relations.
Effective communication, negotiation, and conflict-resolution skills.
Strong analytical and critical-thinking skills.
Demonstrated leadership capabilities.
Strong quality-improvement expertise.
Knowledge of healthcare revenue cycle processes and requirements.
Required licensure: RN, LSW/LCSW, or an education-appropriate license.
Required certification: CCM/ACM, LCSW, or a UPMC-approved certification.
Required clearance: Act 34.
Current licensure in the state where the facility is located, or a multistate license issued by a participating NLC state if the facility is in an NLC state. Employees on an out-of-state NLC license who change residency to the facility’s state must apply for in-state licensure within 60 days.

Responsibilities

Collaborate with the Director to establish and maintain effective processes and systems that meet departmental goals.
Oversee daily operations of the Discharge Planning staff and ensure productivity standards are met.
Coordinate discharge planning expectations among healthcare providers, maximize resource use, and mentor and monitor department staff.
Participate in leadership development.
Hire and terminate staff as necessary; establish and monitor performance; provide staff feedback and guidance; and conduct annual performance evaluations.
Serve as a resource for care management and denial management processes.
Develop and implement processes for timely and accurate documentation of data relating to concurrent denials, and ensure regulatory compliance when determining denial of service or providing notices of non-coverage.
Ensure training programs address identified department staff needs.
Maintain a tracking system to monitor progress toward discharge planning program goals and objectives.
Collaborate with other UPMC departments to address discharge planning issues, track avoidable-day and delay documentation, and report trends and barriers to the Director.
Participate in developing the department’s annual budget and planning for department needs with the Director; monitor expenses against budget and report variances.