COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

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

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RN Care Manager, York, ER Memorial Hosp.

  • Job ID: 584599140
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: 7:30a-4p or 8a-4:30p
  • Shift: Day Job
  • Facility: UPMC Pinnacle Memorial
  • Department: Case Management
  • Location: 1701 Innovation Drive, York PA 17404
  • Union Position: No
  • Salary Range: $31.02 to $48.12 / hour

Description

Sign-On Bonus: 

This position is eligible for a generous sign-on bonus! Now is your moment to find your place at UPMC! 

UPMC Memorial Hospital in York, PA is recruiting for an Registered Nurse (RN) Care Manager for our brand new, 27-bed Emergency Department. The RN Care Manager collaborates with the multi-disciplinary team to facilitate care coordination and discharge planning to include post-acute care referrals and authorizations. 

Hours: 7:30a-4p or 8a-4:30p, primarily Monday - Friday, Once a month weekend rotation. 

Responsibilities:

  • Initiates discharge planning on admission and ensures D/C documentation is completed and updated regularly.
  • Proactively identifies barriers to discharge and works with multi-disciplinary team to expedite care, monitor length of stay (LOS) and facilitate discharge.
  • Collaborates with patients, caregivers, internal/external healthcare providers, agencies, and payers to plan and execute a safe discharge.
  • Addresses complex clinical and social situations efficiently to avoid unnecessary delays in discharge.
  • Performs clinical review on admission and/or continued stay using LOC criteria to determine appropriate level of care (Inpatient, OBS, etc.) Obtains all necessary authorizations for level of care including admission and continued stay.
  • Works with physicians to obtain necessary documentation to support current LOC, alters LOC as needed
  • Re-evaluates and revises discharge plan as patient clinical condition merits.
  • Develops alternative/multiple discharge plans in anticipation of patient need for post-acute services.
  • Uses LOC criteria to justify appropriate LOC (Skilled, Rehab, Home Care, DME, etc.)
  • Serves as resource to clinical and finance teams for clinical documentation requirements, level of care, insurance coverage issues, specific payer and government policies and post-acute services coverage and availability.
  • Attends department meetings and Corporate Care Management Training sessions to maintain current knowledge of all payer and regulatory requirements, UPMC CM policies and procedures, & community resources.
  • Works with the Manager of Care Management, physicians, and clinical team to obtain necessary information and documentation to support LOC.
  • Initiates acceptance of lower LOC when appropriate with assistance from billing office. 

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:
Current licensure as a Registered Professional Nurse either in the state where the facility is located or in a state covered by a licensure compact agreement with the state where the facility is located.

Clearances must be dated 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

COVID-19 Vaccination Information

Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.

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   Current UPMC employees must apply in HR Direct