Job Description

Job Title: Mobile Professional Care Manager (Allegheny)
Job ID: 688631
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: Community Care Behavioral Hlth
Department: Commercial SNP
Location: 336 Sixth Avennue, Pittsburgh PA 15222


Do you have at least three years of experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case management? Are you experienced in working with managed care/community based case management? Are you familiar with working with the geriatric population? If so, UPMC may have the perfect fit for you!



UPMC is hiring a full-time Mobile Professional Care Manager to support the Commercial Special Needs Program team within Community Care Behavioral Health (CCBH). This will be a Monday through Friday daylight position (8:00 a.m. – 4:30 p.m.). This will be a mobile community-based position and the Care Manager will travel approximately 75% of the time. Travel will take place throughout Allegheny county.


Certification in substance use disorders is preferred.


The Mobile Professional Care Manager assists UPMC Health Plan members who require care coordination and conducts assessments that include behavioral, clinical, social, and environmental concerns or needs. Members will be followed in their community, place of residence, and in facilities. The Mobile Professional Care Manager will coordinate programs, services, and facilitate communication between the member's physicians, physical and behavioral health clinicians, and community-based services.


  • Assesses member's knowledge of their clinical condition and the need for further education
  • Collaborates with providers and others in order to obtain initial assessment, treatment planning and aftercare planning for members.
  • Conducts face-to-face member assessments by visiting the member in the member's community, place of residence, or facility. Conduct on-site hospital coordination for discharge planning with facility staff if needed. Coordinate with member's physicians to ensure follow-up and coordination of care
  • Conducts member assessments identifying behavioral, clinical, social, and environmental concerns and needs.
  • Coordinates care and services across the continuum of care with case management, physicians, pharmacy, behavioral health, and other providers or health plan departments as appropriate.
  • Develops specific outreach plans for assigned members who do not maintain regular contact with their medical or behavioral health provider as recommended contributing to frequent crises, recidivism, and interfering with maximum benefit from available care.
  • Ensures that cases are managed and documentation is within established timeframes in accordance with departmental standards. Participates in case conferences, interagency and provider treatment planning and departmental meetings.
  • Facilitates linkages for members and families between primary care and behavioral health providers and other social service or provider agencies as needed to develop and coordinate service plans.
  • Identifies barriers to care and develops specific integrated plan of care in collaboration with the member, family, provider, and UPMC Health Plan staff.
  • Implements appropriate clinical interventions to ensure optimal clinical and quality outcomes for members.
  • Maintains contact with and refers members to community based case management services as appropriate. Identifies provider issues and recommendations for improvement. Demonstrates knowledge of clinical treatment, case management and community resources.
  • Makes referrals and provides expertise regarding community and governmental agencies.
  • Receives and responds to complex and crisis calls.


  • Pennsylvania Licensure in health or human services field and masters degree
  • OR licensed RN (BSN preferred)
  • Three years of experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case management required.
  • Five years of experience with community based case management, and behavioral health experience preferred.
  • General knowledge of best practices in working with special needs populations in the public sector preferred.
  • Detail-oriented with excellent organization skills required.
  • High level of oral and written communication skills required.
  • Proficiency in Microsoft Office products is preferred and ability to learn new software applications required.
  • Three years' experience in a managed care environment preferred Experience with geriatric population preferred.
  • Certification in substance use disorders helpful.

Licensure, Certifications, and Clearances:
Act 33 Child Clearance w Renewal Act 34 Crim Clearance w Renewal Act 73 FBI Clearance Automotive Insurance Basic Life Support OR Cardio Pulmonary Resuscitation Driver's License Clinical Social Work OR Licensed Social Worker OR Professional Counselor OR RN Licensed Mental/Behavioral Health Professional or RN license required CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire

  • Act 33 Child Clearance with Renewal
  • Act 34 Criminal Clearance with Renewal
  • Act 73 FBI Clearance
  • Automotive Insurance
  • Basic Life Support or Cardio Pulmonary Resuscitation
  • Clinical Social Worker
  • Driver's License
  • Licensed Marriage & Family Therapist or Licensed Professional Counselor or Licensed Social Worker or Psychologist or Registered Nurse

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $22.60 to $39.11 / hour

Union Position: No

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