Program Manager, Discharge Planning-HSO SKILLED NURSING FACILITY TRANSFERS -150 East 42nd Street - Full-Time-Day shift-9A-5P
About The Position
The Program Manager, Discharge Planning facilitates successful discharge plans that are critical to reducing length of stay (LOS) and supporting patient flow. The role locates resources and responds rapidly to requests from Case Management, Social Work, and unit staff. It works closely with Care Management and Social Work to support proper and timely patient discharges, ensures discharge-plan details are communicated to the interdisciplinary treatment team, and collaborates daily with skilled nursing facilities to support patient placement and throughput. The manager also works with the contracting team to obtain timely discharge authorizations. The position provides operational oversight of the discharge planning team and manages the overall Discharge Planning Unit program in support of patient, unit, and clinical service objectives. It develops and maintains relationships with post-acute providers and insurance payors; coordinates referrals, authorizations, patient transfers, and transportation; and monitors authorization delays and their impact on excess days and discharge billing. The role is based at 150 East 42nd Street and is full-time, day shift, 9:00 a.m.–5:00 p.m. The listed annual salary range is $65,885.00–$106,891.29. Actual salary depends on factors including experience, education, and operational need.
Requirements
- Bachelor’s degree.
- 5–7 years of experience in a health care setting.
Nice To Haves
- Health plan experience.
- Post-acute care experience.
Responsibilities
- Provide operational oversight to the discharge planning team to ensure day-to-day activity supports optimum patient throughput and excellent patient care.
- Attend and participate in senior leadership meetings to strategize, present data, and implement process improvements related to length of stay and excess days.
- Manage the discharge planning process and facilitate discharge plans to support length-of-stay reduction and patient flow.
- Manage resources, respond rapidly to requests from Case Management, Social Work, and unit staff, and offer insight when needed.
- Maintain contact with unit case managers and social workers regarding timely documentation, patient choice, and accepting facilities.
- Ensure the Discharge Planning Unit program supports patient, unit, and clinical service objectives.
- Facilitate new relationships and maintain current relationships with post-acute providers and insurance payors.
- Attend and participate in meetings with post-acute care provider leads to discuss key performance indicators.
- Prepare discharge planning packets for appropriate post-acute services and secure post-acute care beds in a timely manner.
- Send clinical information to insurance companies and post-acute care providers through ACM for discharge planning and authorization.
- Leverage and optimize the Allscript platform to support timely referrals, authorizations, and patient transfers.
- Keep health plan address book and Allscript platform information up to date.
- Verify and interact with insurance providers to clarify covered benefits, contact providers, and obtain authorization numbers for post-acute services.
- Coordinate patient transportation with the command center.
- Log difficult cases, including the number of days authorization was delayed and the reason for the delay.
- Report daily to the contracting team and executive director the number of patients waiting for authorization by payer.
- Provide the contracting team and billing department with documentation supporting discharge-billing delays related to authorization delays or network inadequacy by payer.
- Report monthly on length of stay by payer and the total number of delay days contributing to excess days.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
