<div class="content-intro"><p style="color: #000000; font-size: 10px; text-align: right; padding-bottom: 5px;"><a href="https://brighthealthcare.com/careers-jobs?_ga=2.12700146.434397925.1624908191-2084812701.1624307088" target="_blank">Back to Career Site</a></p>
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<hr>
<p><strong>Our Mission is to Make Healthcare Right. Together.</strong> Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.</p>
<p>What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.</p>
<p>If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.</p>
<hr>
<p>&nbsp;</p></div><p><strong>SCOPE OF ROLE </strong></p>
<p>Under the direction and oversight of the Manager of Discharge Planning, the Discharge Planning Nurse is responsible and accountable for the coordination of services for members of Bright Health admitted to and/or discharged from an inpatient acute or skilled facility. The Discharge Planning Nurse coordinates all systems/services needed for an organized, multidisciplinary, patient-centered team approach, and cost-effective care for our members. The Discharge Planning Nurse follows and manages the course of treatment for patients while coordinating care with physicians, nurses, case managers, and other staff from outside Bright and within Bright to ensure quality care and safe outcomes.&nbsp; The Discharge Planning Nurse also conducts initial and ongoing assessments, incorporates disease management protocols, ensures continuity of care through discharge planning and utilization of resources, and shifts costs to appropriate payers.&nbsp;</p>
<p><strong>ROLE RESPONSIBILITIES</strong></p>
<p>The Discharge Planning Nurse job description is intended to point out major responsibilities within the role, but it is not limited to these items.</p>
<ul>
<li>Responsible for managing a continuum of care from admission and two weeks post-discharge for assigned patients.</li>
<li>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.</li>
<li>Monitor operational key performance indicators to track service delivery against targets.</li>
<li>Researches and refers members to sources for alternative funding, community services, and other services that may provide support to the patient and family</li>
<li>Enforce UM policies and procedures to ensure compliance with state and federal agencies as well as accreditation standards.</li>
<li>Support the development and maintenance of standard operating procedures related to corresponding program functions.</li>
<li>Participate in the development of operating models to execute utilization management solutions.</li>
</ul>
<p><strong>EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE</strong></p>
<ul>
<li>A minimum of an associate degree in Nursing is desired.</li>
<li>Two (2) or more years of healthcare-related experience</li>
<li>Awareness and experience with HIPAA requirements for healthcare communication</li>
<li>Prior experience with URAC accreditation is desired, but not required</li>
<li>Formal training in Six Sigma management techniques is desired, but not required</li>
</ul>
<p><strong>PROFESSIONAL COMPETENCIES</strong></p>
<ul>
<li>Approaches challenges calmly and objectively to identify the best solution</li>
<li>Capable communicator that can interact with others at multiple levels within the organization, customers, and providers</li>
<li>Leads through influence and example</li>
<li>Strong operational mindset and uses data to draw insights</li>
<li>Thrives on driving results in a collaborative environment</li>
</ul>
<p><strong>LICENSURES AND CERTIFICATIONS</strong></p>
<ul>
<li>An active, Licensed Practical Nurse (LPN) license to practice as a health professional in a state or territory of the United States is required for this role.</li>
</ul>
<p><strong>WORK ENVIRONMENT</strong></p>
<ul>
<li>This position is a remote position, carrying out responsibilities sitting/standing at a desk/table and working on the computer. &nbsp;</li>
<li>Travel is not required.</li>
</ul><div class="content-conclusion"><div>&nbsp;</div>
<div><hr></div>
<div>
<h2><strong>We’re Making Healthcare Right. <span style="color: #1e44a7;">Together.</span></strong></h2>
<div>We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:</div>
<div>&nbsp;</div>
<div><span style="color: #1e44a7;"><strong>Focusing on Consumers<br></strong></span>We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.</div>
<div>&nbsp;</div>
<div><span style="color: #1e44a7;"><strong>Building on Alignment<br></strong></span>We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.</div>
<div>&nbsp;</div>
<div><span style="color: #1e44a7;"><strong>Powered by Technology</strong></span></div>
<div>We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.</div>
<div>&nbsp;</div>
<div style="text-align: center;"><a href="https://www.facebook.com/MyBrightHealth/" target="_blank"><img src="https://cdn1.brighthealthplan.com/images/media/facebook-logo-2020.svg" alt="" width="31" height="31"></a>&nbsp; &nbsp; &nbsp;<a href="https://twitter.com/mybrighthealth" target="_blank"><img src="https://cdn1.brighthealthplan.com/images/media/twitter-logo-2020.svg" alt="" width="31" height="31"></a>&nbsp; &nbsp; &nbsp;<a href="https://www.linkedin.com/company/bright-health/mycompany/" target="_blank"><img src="https://cdn1.brighthealthplan.com/images/media/linkedin-logo-2020.svg" alt="" width="31" height="31"></a></div>
<div><hr></div>
<div>&nbsp;</div>
<div style="text-align: center;">As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.</div>
<div>&nbsp;</div>
</div>
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<p>&nbsp;</p></div>

[Back to Career Site](https://brighthealthcare.com/careers-
jobs?_ga=2.12700146.434397925.1624908191-2084812701.1624307088)

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* * *

**Our Mission is to Make Healthcare Right. Together.** Built upon the belief
that by connecting and aligning the best local resources in healthcare
delivery with the financing of care, we can deliver a superior consumer
experience, lower costs, and optimized clinical outcomes.

What drives our mission? The company values we live and breathe every day. We
keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be
Collaborative.

If you share our passion for changing healthcare so all people can live
healthy, brighter lives – apply to join our team.

* * *



 **SCOPE OF ROLE**

Under the direction and oversight of the Manager of Discharge Planning, the
Discharge Planning Nurse is responsible and accountable for the coordination
of services for members of Bright Health admitted to and/or discharged from an
inpatient acute or skilled facility. The Discharge Planning Nurse coordinates
all systems/services needed for an organized, multidisciplinary, patient-
centered team approach, and cost-effective care for our members. The Discharge
Planning Nurse follows and manages the course of treatment for patients while
coordinating care with physicians, nurses, case managers, and other staff from
outside Bright and within Bright to ensure quality care and safe outcomes.
The Discharge Planning Nurse also conducts initial and ongoing assessments,
incorporates disease management protocols, ensures continuity of care through
discharge planning and utilization of resources, and shifts costs to
appropriate payers.

**ROLE RESPONSIBILITIES**

The Discharge Planning Nurse job description is intended to point out major
responsibilities within the role, but it is not limited to these items.

  * 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.

**EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE**

  * A minimum of an associate degree in Nursing is desired.
  * 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

**PROFESSIONAL COMPETENCIES**

  * 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

**LICENSURES AND CERTIFICATIONS**

  * An active, Licensed Practical Nurse (LPN) license to practice as a health professional in a state or territory of the United States is required for this role.

**WORK ENVIRONMENT**

  * This position is a remote position, carrying out responsibilities sitting/standing at a desk/table and working on the computer.  
  * Travel is not required.



* * *

## **We’re Making Healthcare Right. Together.**

We are realizing a completely different healthcare experience where payors,
providers, doctors, and patients can all feel connected, aligned and unified
on the same team. By eradicating the frictions of competing needs, we are
making it possible to give everyone more of what they want and deserve. We do
this by:



**Focusing on Consumers  
** We understand patient pain points, eliminating complexity while increasing
transparency, for greater access and easier navigation.



**Building on Alignment  
** We integrate and align individual incentives at all levels, from financing
to optimization to delivery of care.



**Powered by Technology**

We employ our purpose built, integrated data platform to connect clinical,
financial, and social data, to deliver exceptional outcomes.



[![](https://cdn1.brighthealthplan.com/images/media/facebook-
logo-2020.svg)](https://www.facebook.com/MyBrightHealth/)
[![](https://cdn1.brighthealthplan.com/images/media/twitter-
logo-2020.svg)](https://twitter.com/mybrighthealth)
[![](https://cdn1.brighthealthplan.com/images/media/linkedin-
logo-2020.svg)](https://www.linkedin.com/company/bright-health/mycompany/)

* * *



As an Equal Opportunity Employer, we welcome and employ a diverse employee
group committed to meeting the needs of Bright Health, our consumers, and the
communities we serve. All qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation, gender
identity or expression, marital status, genetic information, or any other
characteristic protected by law.



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