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.

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Coordinator, Care Management (Delaware County, PA)

  • Job ID: 856569368
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Community Care Behavioral Health
  • Department: Start-up
  • Location: 6505 Market Street, Upper Darby PA 19082
  • Union Position: No
  • Salary Range: $31.08 to $52.46 / 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 Coordinator, Care Management to support the Care Management team within the Community Care Behavioral Health (CCBH) business unit. This will be Monday through Friday daylight role (8:30 a.m. – 5:00 p.m.) and will be based out of Delaware county, PA.

This position will be a hybrid role with opportunity for remote work, in addition to travel to the office and throughout Delaware and surrounding counties to provider sites, member residences, etc.

The Coordinator of Care Management has over-all responsibility for managing daily operations on the floor. This individual is responsible for the clinical administrative supervision and management of the specified care management teams. The manager ensures provision of clinical services consistent with all applicable policies and procedures. The Manager represents the organization to providers, member groups and families, and participates in overall clinical operations management as warranted.

Previous behavioral health or mental health experience is preferred.

Responsibilities:

  • Demonstrates up-to-date understanding of benefits, in-plan services, and the regulatory environment and remains current on covered benefits, limitations, exclusions, and policies and procedures.
  • Coordinates, reviews and maintains data for reporting purposes and for weekly preparation and analysis of trending reports.
  • Participates in CQI activities and provider training, and participates in professional development activities.
  • Coordinates the complaint and grievance process for members.
  • Works with Network Management and Quality Management staff to assure that systematic revisions to improve services are developed and implemented.
  • Works with internal network staff and providers to identify opportunities for the development of alternative or non-traditional services to best meet members' needs.
  • Works as part of the management team in collaboration with Member Services, Network Management and Quality Management departments to assure that systematic revisions to improve services are developed and implemented.
  • Attends case conferences, interagency and provider treatment planning meetings for members when the assigned care manager is unavailable or when the assigned care manager requires clinical administrative support.
  • Meets with members and families, primary care and behavioral health providers, and other agency staff as needed to develop and coordinate services.
  • Receives and responds to complex calls to assist in their resolution.
  • Assumes daily responsibility for the access and quality of services provided to Community Care members through the care management department.
  • Supervises collection of information regarding the delivery and outcomes of Community Care services to members, and uses that information to recommend modifications to plan policies and procedures intended to improve the delivery of services to members.
  • Provides oversight of the teams providing clinical reviews, service authorization, and care coordination for all Community Care members.
  • Responsible for providing after-hours call support and supervision as required by the scheduled personnel.
  • Proposes and implements creative solutions to problems and to achieve a high level of member satisfaction with services.
  • Participates in making presentations to participating providers, state and federal agencies, community groups and other interested parties.
  • Utilizes supervision effectively. Reports clinical, utilization and outcomes issues to Director of Care Management and Member Services. Identifies provider issues and recommendations for improvement.
  • Independently problem solves based on sophisticated knowledge of behavioral health services for children and adults, the provider network, policies, members' rights and responsibilities, and the operating practices of the organization.

Qualifications

  • Pennsylvania licensure and Master's degree in health-related field OR licensed RN with Bachelor's degree in nursing or related field.
  • 5 years of clinical behavioral health experience.
  • Management/leadership experience in behavioral health preferred.
  • Experience in managed care strongly preferred.
  • General knowledge of best practices in behavioral health, emphasizing work with special needs populations and in public sector systems.
  • Strong working knowledge of managed care functional areas, including terms and definitions.


Licensure, Certifications, and Clearances:

  • Pennsylvania licensure: LSW, LCSW, LPC, licensed MFT, licensed RN and/or a licensed PhD (psychologist)
  • Behavior Specialist OR Clinical Social Worker (CSW) OR Licensed Marriage & Family Therapist OR Licensed Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Psychologist OR 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 — 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