About this role
Purpose:
The Senior Discharge Plan Manager functions as the coordinator and is accountable for all post-discharge needs and acts as financial steward for the hospital by assessing for relevant factors, engaging with the care team, and placing a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews discipline recommendations and coordinates necessary care for positive patient outcomes outside of the inpatient setting. The Senior Discharge Plan Manager provides training and mentorship to less experienced staff.
This position will include patient coverage on the Presbyterian campus with the Substance Treatment And Recovery Service (STARS) team with a focus on caring for patients with SUD (Substance Use Disorders). Experience working in health care &/or addiction medicine preferred.
*Social Workers encouraged to apply *
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 on every patient in order to establish 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 ST Health. 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.
- Assist in operational activities for the department including staff orientation, mentoring, and other issues.
- Demonstrate expertise in relevant content area.
- Participate in process improvement initiatives.
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Applicants must meet one of the following education and experience pathways:
Option 1 – Nursing Pathway
- Bachelor of Science in Nursing (BSN) and active RN license required
- Minimum of 3 years of experience in discharge planning and/or care coordination
- In lieu of BSN: 10 years of relevant experience in discharge planning/care coordination may be substituted
Option 2 – Social Work / Human Services Pathway
- Master of Social Work (MSW) or a Master’s degree in a related health or human services field that supports physical, psychosocial, and/or vocational well-being
- Minimum of 3 years of experience in discharge planning and/or care coordination
- In lieu of MSW or qualifying Master’s degree: 10 years of relevant experience may be substituted
KNOWLEDGE AND SKILLS:Must possess knowledge in navigating communications with payer sources and programs.Possess knowledge and understanding of regulatory guidelines. Must be skilled in planning/organization, follow up/control, delegation. Problem solving, self-development, organizational behaviors/competencies.Must be able to read, understand, analyze, and interpret medical record documents.Must possess the ability to apply principles of logic and critical thinking to a wide range of problems and to deal with a variety of abstract and concrete variables.Demonstrate ability to function independently, taking initiative to be proactive and drive a discharge plan while working with a multi-disciplinary team.Be able to lead care teams to develop and execute safe and efficient discharge plans.Maintain knowledge about area resources and their capabilities and capacities as well as various types of service providers available. Demonstrate understanding of inpatient care setting operations.Ability to manage multiple priorities in a fast-paced environment.
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Knowledge, Skills, and Abilities
- Strong knowledge of payer sources, insurance processes, and benefit programs
- Working knowledge of regulatory and compliance guidelines
- Demonstrated ability to:
- Plan, organize, delegate, and follow through on complex discharge plans
- Analyze and interpret medical record documentation
- Apply logic and critical thinking across a wide range of clinical and operational scenarios
- Ability to work independently, take initiative, and proactively drive discharge planning
- Proven success leading multidisciplinary care teams to develop safe and effective discharge plans
- Solid understanding of inpatient care operations and workflows
- Maintains current knowledge of community resources, service providers, and available capacities
- Strong problem‑solving, prioritization, and time‑management skills
- Ability to manage multiple priorities in a fast‑paced environment
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Licensure, Certifications, and Clearances
- Registered Nurses:
- Must maintain an active and unrestricted Registered Nurse (RN) license
- Non‑RN Candidates:
- Must hold a valid Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW), or other education‑appropriate healthcare professional license relevant to discharge planning and care coordination
- Preferred Certifications:
- CCM (Certified Case Manager)
- ACM (Accredited Case Manager)
- Other nursing or social work certifications related to case management or care coordination
- Required Clearances:
- Act 34 Clearance
*Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.
ST Health is an Equal Opportunity Employer/Disability/Veteran
Pay range
$30.84–$51.79 / hr
Set by education and experience. Shift differentials are paid on top.
Your recruiter
Jamie Park
Nurse Recruiter — Pittsburgh Metro
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Experience working in health care &/or addiction medicine preferred.*Social Workers encouraged to apply *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 on every patient in order to establish 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 ST Health. 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Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.ST Health is an Equal Opportunity Employer/Disability/Veteran",
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}pepper2.socialhost.dev › job › 23362624 › senior-discharge-plan-manager-st-health-presbyterian
Senior Discharge Plan Manager (ST Health Presbyterian) — Pittsburgh, PA | Pepper Health (Library Build)
Senior Discharge Plan Manager (ST Health… at Pepper Health, Pittsburgh. See the pay range, the schedule, and your recruiter’s name before you apply.
---
type: 'JobPosting'
title: 'Senior Discharge Plan Manager (ST Health Presbyterian)'
url: 'https://pepper2.socialhost.dev/job/23362624/senior-discharge-plan-manager-st-health-presbyterian/'
job_id: '23362624'
organization: 'SFX Demo'
location: 'Pittsburgh, PA'
employment_type: 'Full-Time'
date_posted: '2026-03-25T16:30:35.56Z'
date_modified: '2026-05-18T09:14:27.827Z'
---
# Senior Discharge Plan Manager (ST Health Presbyterian)
- Location: Pittsburgh, PA (On-site)
- Employment type: Full-Time
- Category: Other
- Shift: Day Job
- Business unit: ST Health Presbyterian
- Pay: $30.84–$51.79 / hr
- Organization: SFX Demo
- Posted: 2026-03-25T16:30:35.56Z
## Description
**Purpose:**
The Senior Discharge Plan Manager functions as the coordinator and is accountable for all post-discharge needs and acts as financial steward for the hospital by assessing for relevant factors, engaging with the care team, and placing a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews discipline recommendations and coordinates necessary care for positive patient outcomes outside of the inpatient setting. The Senior Discharge Plan Manager provides training and mentorship to less experienced staff.
…
Shift and schedule
Shift
Day Job
Hours
Full-Time
Workplace
On-site
Where you’ll work
Pittsburgh, PA
A city of bridges, neighborhoods and world-class medicine. Affordable living, a booming health sector, and Pepper Health facilities across the metro — from our flagship Shadyside campus to a home-health network covering every borough.
- Pepper Health Shadyside
- Pepper Health Passavant
- Pepper Health Children's
- Pepper Health Rehab Services
- Pepper Health at Home
Benefits
Benefits from day one
Day-one health coverage
Medical, dental and vision start your first day — no waiting period, full- and part-time.
Tuition & certifications
Up to $5,250/yr tuition support plus paid certification renewals and exam fees.
Retirement with match
403(b) with employer match and immediate vesting on your contributions.
PTO & wellbeing days
Generous paid time off, paid parental leave, and dedicated wellbeing days.
Ladders & residencies
Nurse residency, allied apprenticeships, and defined advancement ladders in every area.
Family support
Childcare discounts, caregiver leave, and flexible scheduling that respects your life.
Stories
From people in this role
Allied health at Pepper is a career, not just a job. Certifications paid, cross-training encouraged, and a clear ladder from tech to lead.
Career progression
Where this role can lead
New-grad RN / Residency
Staff RN — specialty certified
Charge / Clinical Resource RN
Nurse Manager or CNS / NP track
Director of Nursing
FAQ
Questions people ask about this role
About this roleCan I cross-train into other modalities?
Yes — cross-training is how most of our imaging and lab teams grow. Your manager builds it into your development plan.
About this roleDo you support continuing education?
Up to $5,250/yr in tuition support plus paid certification fees — many of our techs are in degree programs while working.
About this roleIs there a path from entry roles to clinical careers?
Our patient-care-support roles feed directly into nursing and allied pipelines, with tuition support and schedules that flex around school.
About this roleWhat does advancement look like?
Defined ladders — tech → senior → lead → supervisor — with transparent criteria and pay steps published for every level.
Application process
What happens after you apply
Apply
Two minutes with Apply Start — resume autofill does the rest.
Recruiter screen
A real person reviews every application and reaches out.
Interviews
Meet your manager and the team — virtual or on-site, your pick.
Offer
Transparent pay, benefits walkthrough, and time to decide.
Welcome
Paid onboarding, a peer buddy, and your 90-day growth plan.
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