Health Care Manager - Special Needs Plan (SNP) - Social Worker Preferred (Remote)

About the Role

Join UPMC as a Health Care Manager - Special Needs Plan (SNP) - Social Worker Preferred (Remote) in United States. UPMC Health Plan is hiring a full-time Health Manager to support the Special Needs Plan team. The team is based out of downtown Pittsburgh, but team members may reside anywhere in Pennsylvania.

Key Responsibilities

• Provides members, providers, and other stakeholders with information concerning.

Requirements

• internet system/service and speed/ latency requirements as set forth by UPMC.

• Equipment must be connected directly or hard-wired to the internet modem/router with an ethernet cable.

• Most cable and fiber optic providers can meet the requirement.

Benefits & Compensation

• plan services, the provider network, member services policies, members' rights and responsibilities, and the operating practices of the organization. Follow

• plan and/or supplemental services as medically indicated Interfaces with and refers members to community

• based resources and other supportive services as appropriate. Maintains an understanding of behavioral health benefits and remains current on covered or in

• plan services, benefit limitations, exclusions, and behavioral health management policies and procedures. Participate in integrated care team meetings in a cross

Work Schedule

• Full-Time position.

• Remote position - work from anywhere.

• Day shift only - no nights.

This position offers day shifts only. Work with UPMC in United States.