COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Professional Care Manager, Supervisor

  • Job ID: 599791617
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Pop Health Case Mngt
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $33.86 to $57.80 / hour

Description

UPMC Health Plan is hiring a full-time Professional Care Manager, Supervisor to support the Population Health department. This position will work standard daylight hours Monday through Friday. This role requires travel to hospitals throughout Western PA to meet with onsite Transition Coordinators and to downtown Pittsburgh’s US Steel Tower for meetings as needed. 

The Supervisor is responsible for oversight and day-to -day care coordination functions for telephonic, clinical, or utilization management care management staff, including the direct supervision, coaching and counseling of staff. Monitors staff workload, assignments, and productivity. Assists care managers with problem solving with complicated member cases. Acts as a resource for staff and other departments within the Health Plan. Facilitates orientation and on boarding for clinical staff and mentors staff in order to achieve departmental goals. Contributes or completes performance reviews for staff.

Responsibilities:

 

  • Ensure staff receives, understand and adhere to applicable regulatory/ compliance guidelines related to their departmental expectations (I.E. NCQA, DPW, CMS).
  • Conduct regularly scheduled team and individualized meetings to communicate information, ongoing education and/or individual performance feedback.
  • Serve as a resource to staff and other Health Plan departments to identify opportunities for improvements, quality of care concerns, and barriers to care coordination. Utilize evidence based practice to support improvement in care / health / utilization management.
  • Monitor, coach and report staff productivity and adherence to regulatory and work flow standards. Manage staff schedules to ensure that departmental goals are met
  • Contribute to the development, implementation and annual review of departmental policies and procedures.
  • Participate in interdisciplinary treatment team meetings to facilitate the development of appropriate and comprehensive plans of care. Assist staff in making referrals to community or governmental agencies.
  • Collect data, validate data where possible, prepare reports and assist teams in analysis and monitoring of key utilization targets and trends.
  • Facilitate staff orientation and on boarding for new staff. Monitor staff participation in mandatory education and competency assessment requirements at the system, Health Plan, and department level.
  • Assess staff member's ability to engage members and provide coaching to increase the use of motivational techniques. Complete performance evaluations within departmental timeframes
  • Contribute to the development, implementation, and evaluation of clinical programs within the team or department. Assist with integrating HP programs across the Health System and vendors as needed.

 

Qualifications

  • Bachelor's degree in nursing or related field required
  • 2 years of nursing experience required: 4 years of care manager experience required; Managed care experience preferred
  • Two years of supervisory or leadership experience preferred.
  • Case management certification or approved clinical certification within one year of hire or 1 year health plan management experience required
  • Ability to analyze data and monitor trends required
  • Proficiency with Microsoft Office products
  • Excellent interpersonal and communication skills (verbal and written); Ability to collaborate effectively with physicians and other health care professionals
  • Strong organizational and problem solving skills with ability to make decisions independently
  • Ability to develop and maintain effective team-focused working environment


Licensure, Certifications, and Clearances:

  • Case management certification or approved clinical certification within one year of hire or 1 year health plan management experience required
  • Registered Nurse (RN)
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal
  • OAPSA

UPMC is an Equal Opportunity Employer/Disability/Veteran

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At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct

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