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Discharge Planner
Posted on 1/17/2023
INACTIVE
Locations
Remote
Experience Level
Entry
Junior
Mid
Senior
Expert
Requirements
  • A minimum of an associate degree in Nursing is desired
  • Three (3) or more years of supervisory experience within a consumer support function
  • Two (2) or more years of healthcare-related experience
  • Awareness and experience with HIPAA requirements for healthcare communication
  • Prior experience with URAC accreditation is desired, but not required
  • Formal training in Six Sigma management techniques is desired, but not required
  • Approaches challenges calmly and objectively to identify the best solution
  • Capable communicator that can interact with others at multiple levels within the organization, customers, and providers
  • Leads through influence and example
  • Strong operational mindset and uses data to draw insights
  • Thrives on driving results in a collaborative environment
Responsibilities
  • Responsible for managing a continuum of care from admission and two weeks post-discharge for assigned patients
  • Demonstrates a multidisciplinary approach in identifying problems, communicating and negotiating with the member's PCP, family members, caregivers, other members of the health care team, and community resources
  • Monitor operational key performance indicators to track service delivery against targets
  • Researches and refers members to sources for alternative funding, community services, and other services that may provide support to the patient and family
  • Enforce UM policies and procedures to ensure compliance with state and federal agencies as well as accreditation standards
  • Support the development and maintenance of standard operating procedures related to corresponding program functions
  • Participate in the development of operating models to execute utilization management solutions
  • This position has supervisory responsibilities for members of the Utilization Management team
  • The majority of work responsibilities are performed in a call center environment, carrying out responsibilities sitting/standing at a desk/table and working on the computer
  • Travel is not required
Bright Health

1,001-5,000 employees

Affordable personalized health insurance
Company Overview
Bright Health's mission is to make healthcare right. They believe quality health insurance should be simple, personal, and affordable. So they design easy-to-understand plans with benefits you'll actually use. Benefit-packed plans and surprisingly low rates mean you can focus on staying happy and healthy.
Benefits
  • Compensation and retirement - Performance bonus, Stock Options, 401k plan, 401k matching, Commuter assistance plans
  • Health and wellness - Health insurance, Dental insurance, Vision insurance, Life insurance, Disability insurance, FSA (Flexible Spending Plan), EAP (Employee Assistance Program)
  • Vacation and time off - Unlimited time off, Paid holidays, Flexible working hours, Maternity benefits, Paternity benefits
  • Values and quality of life - Public Transportation, Bike parking, Employee groups and committees, Snacks and beverages
Company Core Values
  • Be brave - Challenge the status quo with curiosity, courage, and tenacity
  • Be brilliant - Deliver predictable excellence with a learning mindset
  • Be accountable - Live by your word, always
  • Be inclusive - Value all voices and contributions to achieve big things
  • Be collaborative - Fearlessly partner with all people