class:( $data.displayType === 'InputTextArea') ? 'block__field--full-width' : ($data.displayType === 'InputRichText' || $data.name === 'descriptionExt' || $data.name === 'qualificationExt' || $data.name === 'descriptionInt' || $data.name === 'qualificationInt') ? 'block__field--wide-rich-text' : 'block__field--edit'}" id="descriptionInt-container" html: $component.getFieldValue($data)" id="descriptionInt-value" formfieldid="descriptionInt" Are you an RN or social worker interested in care management, case management, or care coordination? UPMC is proud to announce the new Clinical Care Coordination and Discharge Planning team, dedicated to caring for patients throughout their UPMC treatment journey. In this new model, roles are reimagined and expertise is combined to deliver the best care and personalized experiences for our patients. RNs and social workers function equally in discharge plan roles, serving as the central point of contact through a patient's care delivery, in partnership with a Physician or APP. Become part of a multidisciplinary team committed to improving care coordination and developing more efficient, progressive discharge planning processes, and let UPMC help you succeed through offerings that include: + A $6,000 sign-on bonus for eligible roles with a two-year work commitment (external and eligible candidates) + A $10,000 sign-on bonus available for the Senior and Expert Levels with a two-year work commitment (external and eligible candidates) + A designated career ladder designed to support career advancement, with two tracks to support both nurses and social workers + Flexible schedule options to make your career work for you + Up to 5 ½ weeks of paid time off and 7 paid holidays + $6,000/year in tuition assistance to help you get where you want to be + And much more! Shift: M-F 8a-4:30p with some weekend daylight and approximately 1Xper month & holidays 1 per year **Responsibilities:** + Work with patients throughout their treatment journey — from day one of admission to post-discharge — to ensure patients are prepared for a successful discharge and achieve continued improvement following inpatient care. + Advocate on behalf of patient/family/caregivers for access to services and for protecting the patient's health, well-being, safety, and rights. + Identify clinical, psychosocial, historical, financial, cultural, and spiritual needs that guide the planning process with the patient to attain optimal outcomes. + Complete detailed patient assessments to determine patients' capacity for self-care, identify support systems, outline barriers to discharge, and determine the likelihood that patients will require post-hospital services and the availability of those services. + Collaborate with a multidisciplinary team to coordinate an individualized, safe, efficient care plan. Integrate patients' goals, the health care team's assessment, risks, and available resources to develop and coordinate a successful transition plan. + Serve as a liaison between patients and the care team. Incorporate discipline-specific recommendations, test results, and outstanding orders into the discharge plan and respond to the progression of discharge milestones. + Maintain knowledge of resources in the area, their capabilities and capacities, and service providers available. Ensure appropriate arrangements for post-hospital care will be made before discharge and work to avoid unnecessary delays in discharge. + Serve as a contact between hospitals and post-hospital care facilities and the physicians who provide care in both settings. class:( $data.displayType === 'InputTextArea') ? 'block__field--full-width' : ($data.displayType === 'InputRichText' || $data.name === 'descriptionExt' || $data.name === 'qualificationExt' || $data.name === 'descriptionInt' || $data.name === 'qualificationInt') ? 'block__field--wide-rich-text' : 'block__field--edit'}" id="qualificationInt-container" html: $component.getFieldValue($data)" id="qualificationInt-value" formfieldid="qualificationInt" Nurse track: Diploma or Associate's Degree. 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 required. Master's degree preferred Experience: No experience in discharge planning/care coordination. Clinical/patient-facing experience preferred. Knowledge and Skills: Excellent communication skills required. Must be skilled in planning/organization, follow up/control, problem solving, self-development orientation, organizational behaviors/competencies. 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. Comfortable working both independently and as a team member. Proficient computer skills. **Licensure, Certifications, and Clearances:** Nurse track: RN License required. Non-nurse track: No license required. + Act 33 with renewal + Act 34 with renewal + Act 73 FBI Clearance with renewal