Job Description

Job Title: Mobile Professional Care Manager (Erie, PA)
Job ID: 80216134
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: Community Care Behavioral Hlth
Department: Commercial SNP
Location: , Erie PA

Description

Do you currently have an active PA health/human services license with at least three years of clinical experience? Is your background in behavioral health? If so, UPMC may have the perfect fit for you!

 

UPMC is hiring a full-time Mobile Professional Care Manager to support the Community Care Behavioral Health (CCBH) business unit. This will be a Monday through Friday daylight position (8:00 a.m. – 4:30 p.m.) and will require approximately 40% travel throughout Erie county to meet with members in the community. Member assessments are conducted face-to-face in the member’s community, place of residence or facility. Reliable transportation is required.

 

The Care Manager will provide physical and behavioral health support to the adult and geriatric member population.



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.


Responsibilities:

  • 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.
  • Makes referrals and provides expertise regarding community and governmental agencies.
  • Identifies barriers to care and develops specific integrated plan of care in collaboration with the member, family, provider, and UPMC Health Plan staff.
  • Assesses member's knowledge of their clinical condition and the need for further education
  • 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.
  • Receives and responds to complex and crisis calls.
  • Implements appropriate clinical interventions to ensure optimal clinical and quality outcomes for members.
  • 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.
  • Collaborates with providers and others in order to obtain initial assessment, treatment planning and aftercare planning 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.
  • 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.
  • 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
  • Demonstrates knowledge of clinical treatment, case management and community resources.
  • Encourages coordination of care with primary care physician and other service providers integral to the member's life.
  • Monitors and evaluates effectiveness and outcome of treatment and service plans and recommends, modifications as necessary to provide optimal clinically appropriate services with a goal of maintenance in the community at the least restrictive level of care.
  • Assists assigned members with smooth transition when moving into or out of the county.
  • Demonstrates excellent clinical, written and oral communication skills.
  • Responds to deadlines and has work completed on or before deadline 95% of the time.

Qualifications

  • Pennsylvania Licensure in health or human services field and master's 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 (BLS) OR Cardiopulmonary Resuscitation (CPR)
Clinical Social Worker (CSW) OR Licensed Marriage & Family Therapist OR Licensed Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Psychologist OR Registered Nurse (RN)


UPMC is an Equal Opportunity Employer/Disability/Veteran

Salary Range: $23.75 to $41.09 / hour

Union Position: No

Apply Current Employee?

UPMC VALUES

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.


WORKING HERE



Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.

Learn more about working here and check out our policies and recent updates.

UPMC Health Plan Named Best Places to Work for LGBTQ Equality in 2019


UPMC Ranked #1 Best Places for Women and Diverse Managers in 2019

Share:
Talent Network