Manager, Clinical Care Coordination and Discharge (UPMC Memorial) at UPMC

York, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Dec, 25

Salary

0.0

Posted On

19 Sep, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Management, Discharge Planning, Utilization Review, Leadership, Critical Thinking, Interpersonal Relationships, Organizational Relations, Communication, Negotiation, Conflict Resolution, Analytical Skills, Quality Improvement, Healthcare Revenue Cycle, Regulatory Compliance, Mentoring, Performance Evaluation

Industry

Hospitals and Health Care

Description

UPMC is hiring a Manager, Clinical Care Coordination and Discharge for our hospital in York! This is a full time, day shift position with NO weekends and NO holidays required! Candidates with hospital based and working knowledge of care management processes encouraged to apply! Purpose: The Manager oversees the day-to-day operations of the Clinical Care Coordination and Discharge Planning Department under the direction of the Director. The Manager is accountable for achieving established goals and targets through actively engaging multiple disciplines and associates. This role is expected to lead efforts to evaluate, develop, implement, redesign, and modify Discharge Planning practice standards. The Manager works closely with department staff in an effort to safely, effectively, and efficiently move patients across the continuum of care. Responsibilities: Collaborates with the Director to ensure effective processes and systems are established and maintained to meet departmental goals. Oversees daily operations of the Discharge Planning staff under the direction of the Director. Ensures productivity standards are met. Utilizes expert leadership and critical thinking skills to efficiently coordinate and direct discharge planning expectations among all health care providers while maximizing use of resources. Takes a leadership role in the mentoring and monitoring of department staff. Participates in leadership development. Hires and terminates staff as necessary. Establishes and monitors performance and provides feedback and guidance to staff. Conducts annual performance evaluations. Functions as a resource person for the care management and denial management processes. Develops and implements processes for timely and accurate documentation of appropriate data relating to concurrent denials. Assures regulatory compliance in determining denial of service and/or providing notices of non-coverage. Ensure training programs address identified needs of department staff. Maintains a tracking system for overseeing and monitoring progress toward established goals and objectives of the discharge planning program. Collaborates with other UPMC departments to establish mechanisms to address issues related to discharge planning, tracks avoidable day/delay documentation, and reports trends/barriers to Director. Participates in the development of the Clinical Care Coordination and Discharge Planning department annual budget and plans for department needs under the direction of and in collaboration with the Director. Monitors actual expenses against budget and reports variances. Master's Degree required.Minimum of five years of experience in discharge planning or care coordination, or similar experience managing departmental operations. Including at least one year experience in leadership required.KNOWLEDGE AND SKILLS:Expertise in care management, discharge planning and utilization review processes. Ability to build credible and effective relationships with physician and executive leadership.Understanding of clinical, financial, and regulatory processes.Ability to prepare and critically analyze data, make appropriate recommendations toward resolution, and follow-through of identified action. Expertise in interpersonal relationships, organizational relations.Effective communication, negotiation, and conflict resolution skills.Strong analytical and critical thinking skills.Demonstrated leadership capabilities.Strong quality improvement expertise.Knowledge of health care revenue cycle processes and requirements. Licensure, Certifications, and Clearances: Licensure: RN, LSW/LCSW, or education-appropriate license required.Certification: CCM/ACM, LCSW or UPMC approved certification required. Licensed Clinical Social Worker (LCSW) OR Licensed Social Worker (LSW) OR Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse (RN) 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

Responsibilities

The Manager oversees the daily operations of the Clinical Care Coordination and Discharge Planning Department, ensuring productivity standards are met and collaborating with multiple disciplines. This role involves evaluating and modifying discharge planning practices to enhance patient care across the continuum.