Senior Professional Care Manager Outcomes Specialist

4 weeks ago


Mechanicsburg, Pennsylvania, United States UPMC Full time
Job Summary:

UPMC is seeking a highly skilled Care Manager to join our team. As a Care Manager, you will play a critical role in coordinating the clinical and financial plan for patients. Your expertise will ensure that patients receive the highest quality care, while also meeting the needs of our healthcare system.

Responsibilities:

Collaborate with patients, caregivers, internal/external healthcare providers, agencies, and payers to plan and execute a safe discharge.
Re-evaluate and revise discharge plans as patient clinical condition merits.
Develop alternative/multiple discharge plans in anticipation of patient need for post-acute services.

Requirements:

Graduate of an approved school of nursing.
Two (2) years of nursing experience required. BSN or related Bachelors degree required. Two (2) years of care management experience or equivalent experience in the healthcare environment required. Knowledge of healthcare financial and payor issues required. Knowledge of state, local, and federal programs required. Use of InterQual criteria preferred.

Licensure, Certifications, and Clearances:

Currently licensed as a professional nurse in the Commonwealth of PA. UPMC Corporate Care Management Training Certificate of Completion required within 4-6 weeks of hire. UPMC approved Care Management certification preferred.

What We Offer:

Competitive salary and benefits package.
Opportunities for professional growth and development.
Collaborative and supportive work environment.

How to Apply:

Apply online at www.upmc.com/careers or contact our HR department at careers@upmc.com for more information.
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