At UPMC, we are committed to keeping our communities safe and healthy as the COVID-19 pandemic continues to evolve. As our recruiters work to fill positions during this time, interviews and recruitment-related processes have been modified to protect and prioritize the safety of our candidates and employees.

UPMC continues to comply with any governmental guidance related to local, state, and federal COVID-19 vaccination and testing requirements where our team members live and work. UPMC strongly supports vaccination and encourages everyone who can get vaccinated to do so to protect themselves, their co-workers, and our patients. At this time, the COVID-19 vaccination is available for new or existing employees on a voluntary basis, except where required by local, state, or federal authorities. Staff in positions in our New York, Maryland, and City of Philadelphia areas must be in compliance with local COVID-19 mandates.

For more information about UPMC’s response to COVID-19, please visit upmc.com/coronavirus.

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Mobile Professional Care Manager (Allegheny county)

  • Job ID: 318292915
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Community Care Behavioral Health
  • Department: Commercial SNP
  • Location: 336 Sixth Avennue, Pittsburgh PA 15222
  • Union Position: No
  • Salary Range: $24.05 to $41.60 / hour

Description

At UPMC, we’re all here for the same reason – to make Life Changing Medicine happen. Join our team and you will play a unique and important role in our mission to change healthcare for the better.

UPMC is hiring a full-time Mobile Professional Care Manager to support the Commercial Special Needs Program (SNP) department within the Community Care Behavioral Health (CCBH) business unit. This is a Monday through Friday daylight role (8:00 a.m. – 4:30 p.m.). This is a community-based position and will travel throughout Allegheny county. 

However, due to COVID-19 circumstances, visits in the community are limited at this time, but telephonic contact and virtual visits continue. This position will eventually transition to a community-based format (travelling in and around Allegheny county), where member assessments/visitations will take place on-site and travel will be required. The Care Manager will support members local to this area.

Experience working with adults and/or the geriatric population is helpful.  Experience working with adults with behavioral health issues that include serious mental illness and substance use 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.


Responsibilities:

  • 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
  • Collaborates with providers and others in order to obtain initial assessment, treatment planning and aftercare planning for members.
  • Conducts member assessments identifying behavioral, clinical, social, and environmental concerns and needs.
  • 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.
  • 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.
  • Makes referrals and provides expertise regarding community and governmental agencies.
  • Assesses member's knowledge of their clinical condition and the need for further education
  • Implements appropriate clinical interventions to ensure optimal clinical and quality outcomes for members.
  • 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.
  • 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.
  • Identifies barriers to care and develops specific integrated plan of care in collaboration with the member, family, provider, and UPMC Health Plan staff.
  • 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.

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 OR Cardio Pulmonary Resuscitation
  • Driver's License
  • Clinical Social Work OR Licensed Social Worker OR Professional Counselor OR RN OR 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
  • Automotive Insurance

     

  • 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 — 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