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

UPMC • Pittsburgh, PA

5d • Onsite

About The Position

UPMC Presbyterian Shadyside is seeking a Senior Discharge Plan Manager to join their Clinical Care Coordination and Discharge Planning department. This role is for an RN or social worker interested in care management, case management, or care coordination. The successful candidate will be responsible for the safe and smooth transition of patients to their homes or other care settings. This role involves collaborating with healthcare providers, patients, and their families to create personalized discharge plans that address medical, social, and logistical needs. The Senior Discharge Plan Manager will act as an advocate for patients' needs and preferences throughout the discharge planning process.

Requirements

• RN license required (for 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 (for Non-Nurse Track).
• 10 years of experience can be substituted for BSN completion (for Nurse Track).
• 10 years of experience can be substituted for MSW completion (for Non-Nurse Track).
• Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR)
• Act 33 with renewal
• Act 34 with renewal
• Act 73 FBI Clearance with renewal

Nice To Haves

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

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.

Benefits

• $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
• Up to 5 ½ weeks of paid time off
• 7 paid holidays
• $6,000/year in tuition assistance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior