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.

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.

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $65,885.00 - $102,780.08 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

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

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvem