Mobile Professional Care Manager - Beaver & Lawrence Counties

About the role

UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Care Management Department in Beaver & Lawrence Counties. This role works flexible hours, Monday through Friday, with travel throughout Beaver and Lawrence Counties to meet with members within the community.

Responsibilities

• Conducts face-to-face member assessments by visiting the member in the member’s community, place of residence, or facility. Conduct on-site hospital coordination for discharge planning with facility staff if needed. Coordinate with member’s physicians to ensure follow-up and coordination of care
• Collaborates with providers and others in order to obtain initial assessment, treatment planning and aftercare planning for members.
• Conducts member assessments identifying behavioral, clinical, social, and environmental concerns and needs.
• Facilitates linkages for members and families between primary care and behavioral health providers and other social service or provider agencies as needed to develop and coordinate service plans.
• Ensures that cases are managed and documentation is within established timeframes in accordance with departmental standards.
• Participates in case conferences, interagency and provider treatment planning and departmental meetings.
• Makes referrals and provides expertise regarding community and governmental agencies.
• Assesses member’s knowledge of their clinical condition and the need for further education
• Implements appropriate clinical interventions to ensure optimal clinical and quality outcomes for members.
• Develops specific outreach plans for assigned members who do not maintain regular contact with their medical or behavioral health provider as recommended contributing to frequent crises, recidivism, and interfering with maximum benefit from available care.
• Receives and responds to complex and crisis calls.
• Coordinates care and services across the continuum of care with case management, physicians, pharmacy, behavioral health, and other providers or health plan departments as appropriate.
• Identifies barriers to care and develops specific integrated plan of care in collaboration with the member, family, provider, and UPMC Health Plan staff.
• Maintains contact with and refers members to community based case management services as appropriate.
• Demonstrates knowledge of clinical treatment, case management and community resources.

Qualifications

• Pennsylvania Licensure in health or human services field and master’s degree OR licensed RN (BSN preferred) OR Paramedic/EMT with 6-8 year of experience.
• Three years of experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case management required.
• Experience in behavioral health or SUD highly preferred.

Clearances and Certifications

• Act 33 Child Clearance w Renewal
• Act 34 Crim Clearance w Renewal
• Act 73 FBI Clearance
• Automotive Insurance
• Basic Life Support OR Cardio Pulmonary Resuscitation
• Driver’s License
• CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire
• Licensure, Certifications, and Clearances:
• Act 33 Child Clearance w Renewal
• Act 34 Crim Clearance w Renewal
• Act 73 FBI Clearance
• Automotive Insurance
• Basic Life Support OR Cardio Pulmonary Resuscitation
• Driver’s License
• CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire

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Benefits and Life at UPMC

• Earn over 5 weeks of paid time off every year
• Affordable medical, dental & vision coverage
• Student loan assistance and tuition reimbursement options
• Earn up to 8% of your eligible pay in retirement contributions from UPMC
• Employer-paid life insurance