Program Manager, Discharge Planning-Mount Sinai Hospital- Full Time- Days

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.

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

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

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:  

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization.  We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.

 Explore more about this opportunity and how you can help us write a new chapter in our history!

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