Clinical Care Manager
6 days ago
UPMC Health Plan is seeking a full-time Clinical Care Manager to work onsite in the McKeesport and Edgewood areas. This position will work standard daylight hours, Monday through Friday, with no evenings or weekends
Job Summary:We are looking for a skilled Clinical Care Manager to join our team. As a Clinical Care Manager, you will be responsible for care coordination and health education with identified Health Plan members through face-to-face collaboration with members and their caregivers and providers. You will work to identify members' medical, behavioral, and social needs and barriers to care. You will develop a comprehensive care plan that assists members to close gaps in preventive care, addresses barriers to care, and supports the member's self-management of chronic illness based on clinical standards of care.
Responsibilities:- Assist members with transition of care between healthcare facilities, including sharing of clinical information and the plan of care.
- Document all activities in the Health Plan's care management tracking system following Health.
- Successfully engage members to develop an individualized plan of care in collaboration with their primary care provider that promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions.
- Coordinate and modify the care plan with members, caregivers, PCP, specialists, community resources, behavioral health contractor, and other health plan and system departments as appropriate.
- Review members' current medication profiles, identify issues related to medication adherence, and address with the member and providers as necessary.
- Refer members to appropriate case management, health management, or lifestyle programs based on assessment data.
- Engage members in the Beating the Blues or other education or self-management programs.
- Provide members with appropriate education materials or resources to enhance their knowledge and skills related to health or lifestyle management.
- Contact members with gaps in preventive health care services and assist them to schedule required screening or diagnostic tests with their providers.
- Assist members to schedule a follow-up appointment after emergency room visits or hospitalizations.
- Plan standards and identify trends and opportunities for improvement based on information obtained from interaction with members and providers.
- Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization, case management interventions.
- Update the plan of care following review and communicate recommendations to the member and providers.
- Minimum of 2 years of experience in a clinical setting and case management nursing required.
- BSN preferred.
- Minimum 1 year of health insurance experience required.
- 1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management preferred.
- Excellent organizational skills.
- High level of oral and written communication skills.
- Computer proficiency required.
- Case management certification or approved clinical certification required (or must be obtained within 2 years of hire to remain in role).
- CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire.
- Automotive Insurance.
- Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR).
- Driver's License.
- 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.
-
Clinical Care Manager
3 weeks ago
West Mifflin, Pennsylvania, United States University of Pittsburgh Medical Center Full time{"title": "Clinical Care Manager", "subtitle": "Join Our Team", "content": "We are seeking a skilled Clinical Care Manager to join our team at the University of Pittsburgh Medical Center. As a Clinical Care Manager, you will be responsible for coordinating care and providing education to our members. Your goal will be to identify their medical, behavioral,...
-
Licensed Practical Nurse
3 weeks ago
West Mifflin, Pennsylvania, United States Community Care, Inc Full timeJob SummaryCommunity Care, Inc. is seeking a skilled Licensed Practical Nurse (LPN) to provide high-quality patient care in a home health setting. As a key member of our team, you will work under the guidance of a Registered Nurse (RN) to deliver direct nursing care to patients in the West Mifflin area.Key ResponsibilitiesImplement and evaluate patient care...
-
Patient Care Coordinator
2 weeks ago
West Mifflin, Pennsylvania, United States UPMC - University of Pittsburgh Medical Center Full timeJob Title: Patient Care CoordinatorUPMC - University of Pittsburgh Medical Center is seeking a skilled Patient Care Coordinator to join their Home Health Team.Job Summary:The Patient Care Coordinator will play a vital role in coordinating care for assigned teams, ensuring seamless transitions and effective communication between healthcare professionals.Key...
-
Patient Care Coordinator
2 weeks ago
West Mifflin, Pennsylvania, United States UPMC - University of Pittsburgh Medical Center Full timeJob Title: Patient Care CoordinatorUPMC - University of Pittsburgh Medical Center is seeking a skilled Patient Care Coordinator to join their Home Health Team.Job Summary:The Patient Care Coordinator will play a vital role in coordinating care for assigned teams, ensuring seamless transitions and effective communication between healthcare professionals.Key...
-
Licensed Practical Nurse
7 days ago
West Mifflin, Pennsylvania, United States Community Care, Inc Full timeJob Title: Licensed Practical NurseWe are seeking a dependable LPN or RN to provide one on one, in-home care to a 5-year-old in the West Mifflin area.Job Summary:The LPN works under the guidance of the RN as a member of a team to provide direct nursing care to patients within the policies of the agency.Responsibilities:Implements and evaluates all skilled...
-
Licensed Practical Nurse
7 days ago
West Mifflin, Pennsylvania, United States Community Care, Inc Full timeJob Title: Licensed Practical NurseWe are seeking a dependable LPN or RN to provide one on one, in-home care to a 7-year-old in the West Mifflin area.Job Summary:The LPN works under the guidance of the RN as a member of a team to provide direct nursing care to patients within the policies of the agency.Responsibilities:Implements and evaluates all skilled...
-
Clinical Nutrition Specialist
4 weeks ago
West Mifflin, Pennsylvania, United States ISH Dining Services Full timePosition OverviewAs a Clinical Nutrition Specialist, you will play a vital role in delivering medical nutrition therapy and assessing the effectiveness of dietary interventions within a long-term care environment.Key Responsibilities- Provide nutrition services in accordance with established policies, procedures, and regulatory requirements.- While not in a...
-
Clinical Nutrition Specialist
1 month ago
West Mifflin, Pennsylvania, United States ISH Dining Services Full timePosition OverviewAs a Clinical Nutrition Specialist, you will be responsible for delivering comprehensive medical nutrition therapy and assessing the effectiveness of dietary interventions within a long-term care environment.Key Responsibilities- Provide nutrition services in accordance with established policies, procedures, and regulatory requirements.-...
-
Clinical Nutrition Specialist
4 weeks ago
West Mifflin, Pennsylvania, United States ISH Dining Services Full timePosition OverviewAs a Clinical Nutrition Specialist, you will play a vital role in delivering medical nutrition therapy and assessing the effectiveness of dietary interventions within a long-term care environment.Key Responsibilities- Provide nutrition services in accordance with established policies, procedures, and regulatory requirements.- While not in a...
-
Clinical Nutrition Specialist
4 weeks ago
West Mifflin, Pennsylvania, United States ISH Dining Services Full timePosition Overview:As a Clinical Nutrition Specialist, you will be responsible for delivering medical nutrition therapy and assessing the effectiveness of dietary interventions within a long-term care environment.Key Responsibilities:1. Provide nutrition services in accordance with established policies, procedures, and regulatory requirements.2. Although this...
-
Clinical Nutrition Specialist
4 weeks ago
West Mifflin, Pennsylvania, United States ISH Dining Services Full timePosition OverviewAs a Clinical Nutrition Specialist, you will play a crucial role in delivering medical nutrition therapy and assessing the effectiveness of treatment plans within a long-term care environment.Key Responsibilities- Provide nutrition services in alignment with established policies, procedures, and regulatory requirements.- While not in a...
-
Clinical Nutrition Specialist
4 weeks ago
West Mifflin, Pennsylvania, United States ISH Dining Services Full timePosition OverviewAs a Clinical Nutrition Specialist, you will play a crucial role in delivering medical nutrition therapy and assessing the effectiveness of dietary interventions within a long-term care environment.Key Responsibilities- Provide nutrition services in alignment with established policies, procedures, and regulatory requirements.- While not in a...
-
Clinical Nurse Practitioner
1 week ago
West Mifflin, Pennsylvania, United States UPMC - University of Pittsburgh Medical Center Full timeJob SummaryUPMC Home Health is seeking a Licensed Practical Nurse (LPN) to join our team in the Greensburg, Irwin, Jeanette, and surrounding communities. This is a Monday through Friday, 8:00am-4:30pm position with rotating weekends and holidays.Job ResponsibilitiesProvide high-quality patient care in a home health setting, following UPMC LPN Practice...
-
Clinical Nurse Practitioner
1 week ago
West Mifflin, Pennsylvania, United States UPMC - University of Pittsburgh Medical Center Full timeJob SummaryUPMC Home Health is seeking a Licensed Practical Nurse (LPN) to join our team in the Greensburg, Irwin, Jeanette, and surrounding communities. This is a Monday through Friday, 8:00am-4:30pm position with rotating weekends and holidays.ResponsibilitiesProvide high-quality patient care in a home health setting, following UPMC LPN Practice Guidelines...
-
Clinical Nurse Practitioner
1 week ago
West Mifflin, Pennsylvania, United States UPMC - University of Pittsburgh Medical Center Full timeJob Title: Clinical Nurse PractitionerUPMC Home Health is seeking a skilled Licensed Practical Nurse (LPN) to join our team in the Greensburg, Irwin, Jeanette, and surrounding communities. This is a Monday through Friday, 8:00am-4:30pm position with rotating weekends and holidays.Job Summary:The Licensed Practical Nurse (LPN) plays a vital role in the...
-
Clinical Nurse Practitioner
7 days ago
West Mifflin, Pennsylvania, United States UPMC - University of Pittsburgh Medical Center Full timeJob Title: Clinical Nurse PractitionerUPMC Home Health is seeking a skilled Licensed Practical Nurse (LPN) to join our team in the Greensburg, Irwin, Jeanette, and surrounding communities. This is a Monday through Friday, 8:00am-4:30pm position with rotating weekends and holidays.Job Summary:The Licensed Practical Nurse (LPN) plays a vital role in the...
-
Registered Nurse
3 weeks ago
West Mifflin, Pennsylvania, United States University of Pittsburgh Medical Center Full timeJob SummaryUniversity of Pittsburgh Medical Center is seeking a Registered Nurse - Patient Care Coordinator to join our team. As a key member of our clinical team, you will be responsible for coordinating patient care and ensuring seamless transitions between healthcare settings.Key ResponsibilitiesParticipate in on-call coverage rotation for the agency,...
-
Clinical Specialist
1 week ago
Mifflin, Pennsylvania, United States Pyramid Healthcare Inc Full timeJob Title: Clinical SpecialistWe are seeking a highly skilled and compassionate Clinical Specialist to join our team at Pyramid Healthcare Inc. As a Clinical Specialist, you will play a vital role in providing exceptional care and support to our students with emotional and behavioral challenges.Key Responsibilities:Provide consultation and support to the...
-
Patient Care Coordinator RN
2 weeks ago
West Mifflin, Pennsylvania, United States UPMC - University of Pittsburgh Medical Center Full timeSeeking a Registered Nurse for a Patient Care Coordinator Roleat UPMC Home HealthThe Patient Care Coordinator is a vital member of our clinical team, responsible for coordinating care for assigned patients. This role requires strong clinical knowledge, critical thinking, and exceptional interpersonal skills.Key Responsibilities:Participate in on-call...
-
Clinical Nutrition Specialist
4 weeks ago
West Mifflin, Pennsylvania, United States ISH Dining Services Full timePosition Overview:As a Clinical Dietitian, you will play a crucial role in delivering medical nutrition therapy and assessing the effectiveness of treatment plans within a long-term care environment.Key Responsibilities:- Provide nutrition services in accordance with established policies, procedures, and regulatory requirements.- While not in a supervisory...
