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Professional RN Care Manager -Outpatient Primary Care Coordinator- 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

This position will support the Outpatient UPMC Pinnacle primary care providers, working a regular full time daylight schedule Monday through Friday.

The Professional RN Care Manager is a member of the care delivery team who works to establish trusting patient relationships to improve the quality of care, quality of life and improve patient outcomes for patients with complex medical needs.

The Professional RN Care Manager uses independent judgment and continued communication with the patient, family, physician and community resources to assist the patient in attaining a measure of outpatient health.

Job Summary:

The Outpatient Professional RN Care Manager provides:

  • Care coordination for primary care complex patients
  • Autonomous scheduling and case load management
  • Develops a plan of care for the highest risk patients
  • Performs patient outreaches in person via a home visit or office visit, or by telephone or video visit
  • Patients with complex needs will be routinely identified through case review, referral from physician practices, and referral from inpatient case management, 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.
  • 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.

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

    Total Rewards

    More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

    Our Values

    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