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

Senior Statewide Manager CHC Clinical Programs

  • Job ID: 923374970
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: 8am-5pm
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: CHC Service Coordination
  • Location: , PA
  • Union Position: No
  • Salary Range: $39.78 to $67.40 / hour

Description

Community HealthChoices (CHC) is Pennsylvania's managed care long-term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. 


The Senior Statewide Manager is responsible for the management and supervision of the CHC telephonic care management process and operations statewide. The manager monitors staff workload, assignments, and productivity. Supports supervisors managing CHC telephonic care management staff including assisting with problem-solving, management of complicated member cases, and collaboration with service coordination teams. Monitors and collects information related to the staff and program performance review performance against goals and makes recommendations for improvement. Supports supervisors managing service coordination and care management staff. Acts as a liaison for CHC telephonic care management staff with other departments within the Health Plan.

Responsibilities:

  • Strategically oversee statewide CHC telephonic care manager program/operations through effective workflow coordination and project management.
  • Develop, implement, and evaluates policies, goals, and objectives for staff within the department.
  • Serve as a liaison to staff and other Health Plan departments to identify opportunities for improvement to process, quality of care concerns, and barriers to care coordination.
  • Ensure telephonic care management processes and staff adhere to applicable regulatory/ compliance guidelines related to their departmental expectations (I.E. NCQA, DPW, CMS).
  • Interprets and enforces department and organization policies.
  • Ensure continuous process improvement initiatives are in place.
  • Participates in appropriate department and organization committees.
  • Utilize evidence-based practice to support improvement in care, health, and utilization management.
  • Recruits, trains, and orients new staff and ensures that training and educations needs of staff are met.
  • Collect data, validate data where possible, prepare reports and assist teams in analysis and monitoring of key utilization targets and trends.
  • Participate in interdisciplinary treatment team meetings to facilitate the development of appropriate and comprehensive plans of care.
  • Assist with integrating Health Plan programs across the Health System and vendors as needed.
  • Support regional operations as needed with specialized reviews and projects.

 

Qualifications

Bachelor?s degree in nursing or a related field required. Master?s degree in related field nursing (MPH, MPA, MHA, etc.) preferred. Five to seven years related experience required to include experience in a leadership role. Managed care experience required. Registered Nurse, Case management certification, or approved clinical certification within one year of hire or three years health plan management experience required. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations; write reports, business correspondence, and procedure manuals as well as present information and respond to questions from groups of managers, clients, customers, and the general public. The incumbent must be a visionary leader who knows how to effectively drive change in a complex, widely geographically distributed yet system-oriented environment. This incumbent will possess excellent people and service skills to drive a wide variety of programs, policies, and complex initiatives designed to build a best-in-class team. Ability to solve practical and complex problems and deal with a variety of situations with multiple variables where limited standardization exists. The incumbent must embody CHC?s mission, embrace its vision and must lead through respect, and humility. Other Skills: Knowledge of the home and community-based service LTSS program.

Licensure, Certifications, and Clearances:
RN or LCPC, LPC, LCSW preferred.


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