--- 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. *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. a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } 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. a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } ##### 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** a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } ##### 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** ## Apply - [Apply for this role](https://sfxdemo.site.findly.com/job/apply-form) - [This posting on the web](https://pepper2.socialhost.dev/job/23362624/senior-discharge-plan-manager-st-health-presbyterian/)