Mobile Care Manager: Community Health & Discharge Coordinator

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 65,000 - 90,000; Full time

Job summary

UPMC Community Care Behavioral Health seeks a full-time Mobile Professional Care Manager to support the Care Management Department in Bedford & Blair Counties. The role is primarily community-based with travel, assessing members in their homes, communities, or facilities and coordinating care.

You will work flexible hours, travel throughout Bedford and Blair Counties, and spend the remainder of time working remotely.

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.
• Assess 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.Identifies provider issues and recommendations for improvement.Demonstrates knowledge of clinical treatment, case management and community resources.

Job description

UPMC Community Care Behavioral Health seeks a full-time Mobile Professional Care Manager to support the Care Management Department in Bedford & Blair Counties. The role is primarily community-based with travel, assessing members in their homes, communities, or facilities and coordinating care.

You will work flexible hours, travel throughout Bedford and Blair Counties, and spend the remainder of time working remotely.