Program Manager, Discharge Planning-HSO Skilled Nursing Facility Transfers Full Time

Program Manager Discharge Planning-HSO Skilled Nursing Facility Transfers -Full Time

The Program Manager Discharge Planning facilitates successful discharge plans which are critical to LOS reduction and patient flow. Locates resources rapidly responds to requests by Case Management Social Work and Unit Staff. Works closely with Care Management and Social Work to assure proper and timely discharge of patients. Ensures communication is relayed on discharge plan details to the interdisciplinary treatment team. Collaborates with skilled nursing facilities daily to ensure patient placement and throughput. Collaborates with contracting team to ensure timely authorizations obtained for patient discharge.

operational oversite to discharge planning team to ensure that all day to day activity supports optimum patient throughput and excellent patient care.
and participates in meetings with senior leadership to strategize present data and implement process improvement around length of stay and excess days.
successful discharge planning process and facilitates discharge plans which is critical to LOS reduction and patient flow.
for managing resources rapidly responds to requests by Case Management Social Work and Unit Staff and offers insight when needed.
contact with the unit case manager and social worker in respect to timely provision of documentation and patient choice and accepting facility.
manager of the program ensures that the overall Discharge Planning Unit program supports patient unit and clinical service objectives.
new and maintains current relationships with post-acute providers and insurance payors.
and participates in meetings with post-acute care provider leads to discuss key performance indicators.
all discharge planning packets for appropriate post-acute services and secures PAC bed in a timely manner.
clinical information to insurance companies and PAC through ACM for discharge planning and authorization.
and optimizes Allscript platform to ensure timely referrals authorization and patient transfers.
to maintain health plan address book and Allscript platform information up-to-date.
with Insurance: clarify covered benefits contact providers and obtain authorization numbers for insurance companies for post-acute services.
with command center for patient transportation.
a log of difficult cases making note of number of days authorization was delayed and reason why.
daily to contracting team and executive director number of patients waiting for authorization by payer.
documentation to support delay in discharge billing related to authorization delay or network inadequacy issues by payer to contracting team and billing department.
monthly on LOS by payer and total number of day delays contributing to excess days.

• Bachelors Degree.
• 5-7 years of experience in health care setting. Health plan or post-acute care experience preferred.

Non-Bargaining Unit M1T - HSO SKILLED NURSING FACILITY TRANSFERS - MSH Mount Sinai Hospital