Program Manager, Discharge Planning - HSO Skilled Nursing Facility - Corporate Office - Full Ti[...]

Program Manager, Discharge Planning Position: Program Manager, Discharge Planning – HSO Skilled Nursing Facility – Corporate Office – Full time Days This role facilitates successful discharge plans critical to length of stay (LOS) reduction and patient flow. The Program Manager locates resources, responds rapidly to requests by Case Management, Social Work, and Unit Staff, and works closely with Care Management and Social Work to assure proper and timely discharge. The Manager ensures communication on discharge plan details to the interdisciplinary treatment team, collaborates daily with skilled nursing facilities to ensure placement and throughput, and partners with the contracting team to secure timely authorizations. Responsibilities Provide operational oversight to the discharge planning team to ensure day‑to‑day activity supports optimum patient throughput and excellent patient care. Attend and participate in meetings with senior leadership to strategize, present data, and implement process improvement around LOS and excess days. Manage the successful discharge planning process and facilitate discharge plans, essential to LOS reduction and patient flow. Manage resources, respond rapidly to requests by Case Management, Social Work, and Unit Staff, and offer insight when needed. Maintain contact with unit case managers and social workers to ensure timely provision of documentation and patient choice and attending facility. As manager of the program, ensure that the overall Discharge Planning Unit program supports patient, unit, and clinical service objectives. Facilitate new relationships and maintain current relationships with post‑acute providers and insurance payors. Attend and participate in meetings with post‑acute care provider leads to discuss key performance indicators. Prepare all discharge planning packets for appropriate post‑acute services and secure PAC bed in a timely manner. Send clinical information to insurance companies and PAC through ACM for discharge planning and authorization. Leverage and optimize Allscript platform to ensure timely referrals, authorization, and patient transfers. Maintain health plan address book and Allscript platform information up‑to‑date. Verify/interact with insurance: clarify covered benefits, contact providers, and obtain authorization numbers for post‑acute services. Coordinate with command center for patient transportation. Keep a log of difficult cases, noting number of days authorization was delayed and reason. Report daily to contracting team and executive director on number of patients waiting for authorization by payer. Provide documentation to support delays in discharge billing related to authorization delay or network inadequacy issues by payer to contracting team and billing department. Report monthly on LOS by payer and total number of day delays contributing to excess days. Qualifications Education: Bachelor’s Degree. Experience: 5–7 years of experience in a health care setting. Health plan or post‑acute care experience preferred. Compensation Salary range: $65,885 – $106,891.29 annually, depending on experience, education, and operational need. This range does not include bonuses, incentives, differential pay, or other forms of compensation or benefits. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. #J-18808-Ljbffr Mount Sinai Medical Center