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Professional Care Manager, Lancaster

  • Job ID: 008832414
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Pinnacle Health Medical Group
  • Department: Care Management Team
  • Location: 250 College Avenue, Lancaster PA 17603
  • Union Position: No
  • Salary Range: $30.12 to $46.71 / hour

Description

The outpatient Professional Care Manager is responsible for the coordination of care for patients who have complex medical and/or psychosocial needs and who require intensive care management. Patients with complex needs will be routinely identified through case review, referral from inpatient case management, referral from physician practices, predictive analytics, and other reliable data sources. This individual plays a pivotal role in the Patient Centered Medical Home (PCMH) by collaborating with the primary care physicians and an interdisciplinary team to develop a plan of care for the highest risk patients.

 

 


The Professional Care Manager establishes an interdisciplinary approach in working with patients, families, and the care team (e.g. social work, inpatient and specialist care coordinators, pharmacist, etc.) to utilize evidence-based resources to establish appropriate interventions and goals of care. This individual implements, coordinates, monitors, and evaluates appropriate resources using evidenced based standards. The goals of care management are to maintain clinical stability, promote appropriate utilization of services, enhance patients' ability to better manage their health and disease, and improve the patient's health status, clinical outcomes, and satisfaction. Patient outreaches are performed in person via a home visit or office visit, or by telephone or video visit. 

 

Qualifications

  • Graduate of approved school of nursing.
  • Two (2) years of nursing experience required.
  • BSN or related Bachelors degree preferred.
  • Previous case management experience preferred.
  • Knowledge of healthcare financial and payor issues preferred.
  • Knowledge of state, local, and federal programs preferred.
  • Use of InterQual criteria preferred.

    Licensure, Certifications, and Clearances:
    Currently licensed as professional nurse in the Commonwealth of PA. UPMC Corporate Care Management Training Certificate of Completion required with 4-6 weeks of hire. UPMC approved Care Management certification preferred

    Clearances needed within 90 days

  • Registered Nurse (RN)
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

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       Current UPMC employees must apply in HR Direct

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