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 support length-of-stay reduction and patient flow. The role locates resources and responds rapidly to requests from Case Management, Social Work, and unit staff. Working closely with Care Management and Social Work, the Program Manager helps ensure timely, appropriate patient discharges and communicates discharge plan details to the interdisciplinary treatment team. The position collaborates daily with skilled nursing facilities to support patient placement and throughput, and with the contracting team to obtain timely authorizations. The Program Manager provides operational oversight of the discharge planning team and ensures the program supports patient, unit, and clinical service objectives. The role manages discharge planning resources, maintains relationships with post-acute providers and insurance payors, coordinates referrals and authorizations, and monitors barriers and delays. It also participates in leadership and provider meetings, contributes to process improvement, and reports on length of stay, authorization delays, and excess days.
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, ensuring daily activity supports patient throughput and excellent patient care.
- Attend and participate in meetings with senior leadership to strategize, present data, and implement process improvements related to length of stay and excess days.
- Manage the discharge planning process and facilitate plans that support length-of-stay reduction and patient flow.
- Manage resources, respond rapidly to requests from Case Management, Social Work, and unit staff, and provide 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.
- Develop and maintain relationships with post-acute providers and insurance payors.
- Attend 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.
- Optimize the Allscripts platform to support timely referrals, authorizations, and patient transfers.
- Keep the health plan address book and Allscripts platform information up to date.
- Verify insurance coverage, clarify covered benefits, contact providers, and obtain authorization numbers for post-acute services.
- Coordinate patient transportation with the command center.
- Maintain a log of difficult cases, including authorization delay duration and reasons for delays.
- Report daily to the contracting team and executive director the number of patients waiting for authorization by payer.
- Provide documentation to the contracting team and billing department 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
