Job Summary
Support patients through safe, well-coordinated transitions from the hospital to home or another appropriate care setting. This role evaluates each patient’s medical, social, and practical circumstances, then works with the care team and community resources to create individualized discharge plans. The position has nurse and non-nurse pathways, each with specific education, licensure, certification, and clearance requirements.
Responsibilities
- Evaluate patients’ medical, social, and logistical needs to guide transition planning.
- Coordinate safe, individualized discharges to home or other care environments.
- Partner with patients, families, healthcare professionals, and post-hospital service providers.
- Develop and document transition plans, identify barriers, and help address them.
- Promote timely, efficient discharge processes while supporting continuity of care.
Qualifications
- Nurse track: Bachelor of Science in Nursing (BSN) and an active Registered Nurse (RN) license.
- Non-nurse track: Master of Social Work (MSW) or another qualifying master’s degree, plus an appropriate social work or education-related license.
- Both tracks require a Certified Case Manager (CCM), Accredited Case Manager (ACM), or another applicable nursing or social work certification.
- Basic Life Support (BLS) or CPR certification is required.
- Must meet applicable clearance requirements.
UPMC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


