Nursing Jobs in Pleasant Hills, PA

Clinical Care Manager (RN) - Oncology Nurse Navigator

Purpose: UPMC Health Plan is hiring a full-time Clinical Care Manager (RN) - Oncology Nurse Navigator to work as part of a multidisciplinary care team providing Oncology discharge planning and case management support. This role is Hybrid and will work Monday-Friday, standard daylight hours with a minimum of 2 days onsite at UPMC Hillman Cancer Center. The Clinical Care Manager is responsible for care coordination and health education with identified Health Plan members through face-to-face collaboration with members and their caregivers and providers. Identifies members' medical, behavioral, and social needs and barriers to care. Develops 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. Collaborates and facilitates care with other medical management staff, other departments, providers, community resources and caregivers to provide additional support. Members are followed by face-to-face interactions in their community including the hospital, providers' offices, home, and other health care facilities. Responsibilities: Assist member with transition of care between health care 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 member 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 member, caregivers, PCP, specialists, community resources, behavioral health contractor, and other health plan and system departments as appropriate. Review member's current medication profile; identify issues related to medication adherence, and address with the member and providers as necessary. Refer member for Comprehensive Medication Review as appropriate. 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 member 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. Conduct comprehensive face to face assessments that include the medical, behavioral, pharmacy, and social needs of the member. Review UPMC Health Plan data and documentation in the member electronic health records as appropriate and identify gaps in care based on clinical standards of care. Minimum of 2 years of experience in a clinical setting and case management nursing required. Minimum of 2 years of Oncology experience highly 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. BSN Preferred. Excellent organizational skills. High level of oral and written communication skills. Computer proficiency required. Licensure, Certifications, and Clearances: 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) Certified Case Manager (CCM) Driver's License Registered Nurse (RN) Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance with renewal 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. UPMC is an Equal Opportunity Employer/Disability/Veteran

Caregiver

3 weeks ago

Caregiver/Resident Assistant

Legend Senior Living Moon Township, PA

Caregiver/Resident Assistant A certified Great Place To Work (voted by associates) 8 years in a row ! Benefits-- Caregiver/Resident Assistant Medical, Dental, Vision offerings (for benefit eligible associates) Company Paid Life Insurance coverage in the amount of $30,000 Voluntary benefits including: Hospital Indemnity, Accident Insurance, Critical Illness, legal/Identify Theft, and Disability insurance (for benefit eligible associates) 401(k) program including discretionary company match Competitive Paid Time Off (for full-time associates) Holiday pay Discretionary Scholarship program Annual performance evaluations/raises JOB HIGHLIGHTS-- Caregiver/Resident Assistant We are looking for outstanding individuals to join the nursing team as a Resident Assistant/Caregiver. You will make a difference in the lives of residents by assisting them with their activities of daily living. Responsibilities-- Caregiver/Resident Assistant Assisting with the daily care of the residents, including: Personal care, grooming, hygiene, housekeeping, laundering, social interactions, and meals. Monitoring the resident’s physical and emotional comfort and responding as needed Documenting completed tasks such as: Daily shift report, resident records and negotiated service agreement Confidentially communicating clearly to other staff, such as: Urgent needs for the next shift and all concerns to the Health Care Director Demonstrating the ability to manage assigned tasks within the scheduled shift Bonus opportunities-- Caregiver/Resident Assistant Employee referrals Employee of the month/year Resident tour (move-in) Why we should be your “home away from home” Work environment: Our focus is to maximize the potential of every life we touch. We do this by creating an elegant community where our residents are surrounded by the highest standards of quality of service, environment and care. This includes Holistic Wellness, Gold Leaf Dining standards and vibrant Life Enrichment activities. Associate support available: Work friend trainer, employee assistance program, crisis care assistance, paid-time-off donations, continuing education opportunities, appreciation/sympathy gifts, family member discount. Associate growth opportunities : In addition to competitive pay, hundreds of associates are promoted each year! We conduct annual performance evaluations with raises. Company snapshot: Legend has been a family business for 30 years, and is adding multiple properties each year! Our awards include: Great Place To Work, Best of Senior Living Award, Innovative Programming in Senior Living.