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Emergency Department - (RN or Social Worker) Discharge Plan Manager
Emergency Department - (RN or Social Worker) Discharge Plan Manager-December 2024
Pittsburgh
Dec 15, 2025
About Emergency Department - (RN or Social Worker) Discharge Plan Manager

  UPMC Presbyterian is seeking an experienced (RN) Registered Nurse - Discharge Planner for the Emergency Department!

  Hours would be evenings/overnight which includes weekends and holidays

  This position is eligible for up to a $6,000 Sign-On Bonus!

  Why Work at UPMC?

  UPMC is committed to investing in you – financially, personally, and professionally – starting on day one of your career. From tackling student loans to advancing your career later in life, UPMC is the partner you need to succeed and thrive in your career.

  Here’s how we support our Discharge Plan Managers:

  Up to five and a half weeks of Paid Time Off annually, plus seven paid holidays each year

  Dedicated career ladders, including a brand-new Discharge Plan Manager career ladder, added just this year, allowing you to achieve your highest potential while rewarding you for your experience and advanced education

  Tuition reimbursement of up to $6,000 per academic year at any accredited institution, is available to employees and their dependents.

  At UPMC, we’re passionate about continuing to support your growth throughout your career! The final job title and rate of pay will be based upon both individual qualifications and candidate choice. Any required certifications and contributions based on job title will be afforded a timeframe to obtain. Our competitive and newly developed Discharge Plan Management career ladder, as well as our Total Rewards package, will be discussed at the time of offer to ensure you can make the choices that are right for you.

  Responsibilities:

  Identify clinical, psychosocial, historical, financial, cultural, and spiritual needs that guide the planning process with the patient to attain optimal outcomes. Take patient/family/caregiver level of health literacy into consideration. Evaluate patient/family/caregiver level of understanding and engagement with the progress toward goals and incorporate findings into the plan of care. Balances resources with patient preferences and goals of care. Evaluate the potential impact of social determinants of health that may elevate the risk of a poor transition.

  Complete detailed assessment of every patient in order to establish an understanding of medical and social factors, determine patient's capacity for self-care, identify support systems, outline barriers to discharge, and determine likeliness of requiring post-hospital services and the availability of such services. Continually reassess discharge plan for factors that may affect continuing care needs or the appropriateness of the discharge plan.

  Facilitate teams to develop and execute safe and efficient discharges. Maintain knowledge about area resources and their capabilities and capacities as well as various types of service providers available. Ensure appropriate arrangements for post-hospital care will be made before discharge and work to avoid unnecessary delays in discharge. Integrate patients' goals, the health care team's assessment, risks and available resources in order to develop and coordinate a successful transition plan.

  Engage in clear communication with the patient/member/caregivers as well as the interdisciplinary care team in order to develop discharge plans. Serve as a liaison between the patient and the care team. Actively collaborate with the attending practitioner, caregivers, and other members of the multidisciplinary team to coordinate an individualized plan of care. Incorporate discipline-specific recommendations, test results, outstanding orders into discharge plan and monitor/revise and respond to the progression of discharge milestone.

  Serve as a contact between hospitals and post-hospital care facilities as well as the physicians who provide care in either or both of these settings.

  Recognize and demonstrate shared accountability in development of a discharge plan with the patient/member/caregiver as well as with team members to ensure optimal outcomes.

  Align practice with the mission, vision, and values of the organization. Adheres to ethical standards and codes of conduct of applicable professional organization and UPMC. Maintain clinical knowledge of and ensures compliance with regulatory requirements.

  Advocate on behalf of patient/family/caregivers for services access and for the protection of the patient's health, well-being, safety, and rights.

  Manage cost of care with the benefits of patient safety, clinical quality, risk and patient satisfaction to provide recommendations and decisions that ensure optimal outcomes.

  Embrace and incorporate innovation and technology to improve collaboration and patient outcomes. Document care in patient medical chart.

  Provide staff orientation and mentoring as appropriate.

  Discharge Planning Experience:

  Coordination of a patient's clinical care needs from either an inpatient hospitalization to outpatient; from a post-discharge facility to a home or assisted living facility; and/or coordination of resources to assist patients from an outpatient MD office. Includes, but is not limited to, insurance authorizations ( medication, transportation, alternate level of care), coordination of care to alternate levels of care ( skilled nursing homes, Inpatient rehab, home, including transportation), initiating and organizing hemodialysis, coordinating inpatient hospice, home hospice or skilled nursing with hospice; and obtaining information and connecting patients to appropriate outpatient regional resources.

  Nurse Track:

  Diploma or Associate's degree required.

  At least one year of experience in discharge planning/care coordination required.

  Non-nurse Track:

  Bachelor's degree in social work or another health or human services field that promotes the physical, psychosocial, and/or vocational well-being of those being served is required.

  Master's degree preferred.

  At least one year of experience in discharge planning/care coordination is required.

  Must be skilled in planning/organization, follow-up/control, and delegation. Problem solving, self-development, organizational behaviors/competencies.

  Demonstrate ability to function independently, taking the initiative to be proactive and drive a discharge plan while working with a multi-disciplinary team.

  .Ability to manage multiple priorities in a fast-paced environment.

  Licensure, Certifications, and Clearances:

  Nurse track:

  RN License required.Non-nurse Track:

  LBSW or other related healthcare professional license required.

  CCM or ACM or other nursing or social work certification is preferred.

  UPMC is an Equal Opportunity Employer/Disability/Veteran

  Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.

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