LancasterPARecruiter Since 2001
the smart solution for Lancaster jobs

Clinical Care Manager (RN) - Lancaster

Company: UPMC
Location: Lancaster
Posted on: October 18, 2020

Job Description:

Job Description:Are you looking for an opportunity to use your nursing background in outpatient, home health, or case management? Do you have an interest in health insurance, but thrive on working in a medical office setting with face-to-face interaction with the members you are caring for? UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with various physician practices. This role will support practices in Lancaster & the surrounding areas. The position will work standard daylight hours, Monday through Friday. As a Clinical Care Manager, you will be responsible for care coordination and health education with identified Health Plan members through face to face collaboration with members and their caregivers and providers. You will work to identify members' medical, behavioral, and social needs and barriers to care. You will develop a comprehensive care plan that assists members to close gaps in preventive care, addresses barriers to care, and supports the member's self-management of chronic illness based on clinical standards of care. You will collaborate and facilitate care with other medical management staff, other departments, providers, community resources and caregivers to provide additional support. This position is onsite at providers' offices and members are followed by face to face interactions. Responsibilities: * Assist member with transition of care between health care facilities including sharing of clinical information and the plan of care. * Document all activities in the Health Plan's care management tracking system following Health * Successfully engage member to develop an individualized plan of care in collaboration with their primary care provider that promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions. * Coordinate and modify the care plan with member, caregivers, PCP, specialists, community resources, behavioral health contractor, and other health plan and system departments as appropriate. * Review member's current medication profile; identify issues related to medication adherence, and address with the member and providers as necessary. * Refer member for Comprehensive Medication Review as appropriate. * Refer members to appropriate case management, health management, or lifestyle programs based on assessment data. * Engage members in the Beating the Blues or other education or self management programs. * Provide members with appropriate education materials or resources to enhance their knowledge and skills related to health or lifestyle management. * Contact members with gaps in preventive health care services and assist them to schedule required screening or diagnostic tests with their providers. * Assist member to schedule a follow up appointment after emergency room visits or hospitalizations. * Plan standards and identify trends and opportunities for improvement based on information obtained from interaction with members and providers. * Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization, case management interventions. * Update the plan of care following review and communicate recommendations to the member and providers. * Conduct comprehensive face to face assessments that include the medical, behavioral, pharmacy, and social needs of the member. Review UPMC Health Plan data and documentation in the member electronic health records as appropriate and identify gaps in care based on clinical standards of care. Qualifications * Minimum of 2 years of experience in a clinical settingand case management nursing required. * BSN preferred. * Bilingual in Spanish preferred. * Minimum 1 year of health insurance experience required. * 1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management preferred. * Excellent organizational skills. * High level of oral and written communication skills. * Computer proficiency required. Licensure, Certifications, and Clearances: Case management certification or approved clinical certification required (or must be obtained within 2 years of hire to remain in role)CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire * Automotive Insurance * Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) * Driver's License * Registered Nurse (RN) * Act 33 with renewal * Act 34 with renewal * Act 73 FBI Clearance * OAPSA UPMC is an Equal Opportunity Employer/Disability/Veteran Total Rewards More than just competitive pay and benefits, our Total Rewards package cares for you in all areas of life. Designed to help you achieve your goals, Total Rewards support our belief that you're at your best when you're receiving the support you need in all areas of life: professional, personal, financial, and more. Our Values No matter where we work or what we do, we'

Keywords: UPMC, Lancaster , Clinical Care Manager (RN) - Lancaster, Other , Lancaster, Pennsylvania

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


CDL-A Truck Driver - Walmart Transportation
Description: Job Description LOCATION POTTSVILLE, PA CAREER AREA Drivers amp Transportation
Company: Walmart
Location: Leesburg
Posted on: 10/26/2020

Lot Associate
Description: Lot Associate 316140410 Leesburg, Virginia, US, 20178 Lot Associates assist customers with the loading
Company: The Home Depot
Location: Leesburg
Posted on: 10/26/2020

Buffalo Wild Wings: Server
Description: ServerKnow what it''s like to
Company: Buffalo Wild Wings
Location: Leesburg
Posted on: 10/26/2020


Class A CDL Company Driver
Description: Trucking Jobs for Company Drivers Dedicated Routes Available Apply online or call our recruiting team to learn more about how we can get you here and on the road to help deliver refrigerated goods to (more...)
Company: Hirschbach Motor Lines
Location: Leesburg
Posted on: 10/26/2020

Tax Professional - CPA - Remote
Description: Overview If you are a highly motivated individual with an active unrestricted credential CPA/EA/Practicing Attorney and excellent communication skills, we need you to help our customers complete their (more...)
Company: Intuit
Location: Levittown
Posted on: 10/26/2020

Flexible Schedule - Deliver with Uber Eats
Description: Deliver with Uber. Earn on your schedule. 10 Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekendsit 38 039 s up to you. 10 Earn Good Money. Youll earn by (more...)
Company: Uber Eats
Location: Levittown
Posted on: 10/26/2020

Caregiver
Description: Job Description We are currently offering a Signing/Retention Bonus up to 2,000 Apply
Company: Home Instead
Location: Leesburg
Posted on: 10/26/2020

The Home Depot: Merchandising
Description: Job DescriptionMerchandising Execution Associates:All Merchandising Execution Associates MEAs perform in-store merchandising service activities such as merchandising projects, planogram maintenance, (more...)
Company: The Home Depot
Location: Levittown
Posted on: 10/26/2020

Warehouse Associate
Description: Job DescriptionPosition Purpose: br Warehouse associates are an essential part
Company: The Home Depot
Location: Levittown
Posted on: 10/26/2020

Lyft Driver (Part-Time)
Description: Earn 2,600 in Philadelphia when you give 180 rides in 30 days. Terms apply. 10 What is Lyft 10 Lyft is a platform that connects drivers with individuals and organizations that need rides. 10 In addition (more...)
Company: Lyft
Location: Levittown
Posted on: 10/26/2020

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Lancaster RSS job feeds