[Hiring] Telephonic Care Manager (RN) - Special Needs Plans (SNP) @UPMC

Role Description

Are you an experienced nurse with a background in case management? Are you interested in the opportunity to work from home? UPMC Health Plan is looking for you!

We are hiring a full-time Telephonic Care Manager to support the Special Needs Plan team. This position will be predominantly working from home and will work standard EST daylight hours, Monday through Friday. Preference will be given to candidates with a Pennsylvania or Compact RN license.

The Telephonic Care Manager is responsible for care coordination and health education for identified Health Plan members through telephonic collaboration with members and their caregivers and providers. Responsibilities include:

• Identifying members' medical, behavioral, and social needs and barriers to care.
• Developing 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.
• Collaborating and facilitating care with other medical management staff, other departments, providers, community resources, and caregivers to provide additional support.
• Following members by telephone or other electronic communication methods.

Qualifications

• Minimum of 2 years of experience in a clinical setting and case management nursing required.
• A minimum of 5 years nursing experience is highly preferred.
• BSN preferred.
• Ability to interact with physicians and other health care professionals in a professional manner required.
• Excellent verbal and written communication and interpersonal skills required.
• Computer proficiency required.
• Meet minimum internet system/service and speed/latency requirements as set forth by UPMC.
• Private, secure designated workspace required in the home office setting or the ability to work from a designated UPMC office location daily.

Requirements

• Case management certification or approved clinical certification preferred.
• Registered Nurse (RN).
• Act 34 clearance.
• Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state.
• Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.

Company Description

UPMC is an Equal Opportunity Employer/Disability/Veteran.