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Job Description

Job Title: Clinical Prevention Specialist- Nurse
Job ID: 911379780
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: WorkPartners HCMS Group
Department: Clinical
Location: , Work From Home Work From Home


UPMC Health Plan is hiring a full-time Clinical Prevention Specialist- Nurse to help support the WorkPartners/ HCMS Department. This is a remote position and the successful candidate should be located in a state that is in the Mountain, Central or Pacific time zone. This role requires both daylight and some evening shifts. The ideal candidate will be a Registered Nurse with five years of clinical experience and is bilingual in Spanish to assist our Spanish-speaking members.

The successful candidate will provide data driven clinical decision support service to high risk individuals and families enrolled in the HCMS Group KnovaSolutions program. This position provides primarily telephonic support from a home office as part of the HCMS Clinical Prevention Service comprised of nurse, pharmacist and medical team.


• Maintains quality documentation of service delivery within the Service Management Application
• Accurately prepares high quality professional written consultation and service documentation
• Discuss patients' desired treatment outcomes, wellness options, and lifestyle. Provide guidance in navigating multiple specialists, diagnoses, and pharmaceutical treatments.
• Provide clinical prevention decision support to individuals and families over the telephone and via email.
• Research clients' previously diagnosed medical conditions to better understand the diagnosis, interaction with other diagnoses, and treatment options.
• Applies critical thinking, innovative problem solving and clinical support skills to promote quality decision making by KnovaSolutions Members as Your Health. Your Decisions.
• Adherence to the HCMS Home Sourcing and Non-traditional Workplace Policy
• Uses pro-active cognitive listening and assessment skills to provide service to high risk people enrolled in the KnovaSolutions Clinical Prevention service
• Initiates, develops and maintains effective working relationships with clinical prevention service team members
• Maintains patient confidentiality, adhering to HCMS HIPPA & Privacy Policies & Guidelines


• Graduate of an NLN accredited School of Nursing
• Registered Nurse with current licensure
• Master's of Science in Nursing or related field
• Minimum 5 years nursing experience
• Spanish proficiency highly preferred
• Excellent verbal communication and with individuals and groups
• Work independently with excellent organization, and time management skills

Licensure, Certifications, and Clearances:
  • Registered Nurse (RN)

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Salary Range: $35.66 to $60.38 / hour

    Union Position: No

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