Manager, Clinical Care Coordination and Discharge Planning-(West Shore)
UPMC
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.
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