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Nurse Clinical Care Coordinator, Your Care
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$30.96 - $52.15 an hour
Full-time
- The Nurse Clinical Care Coordinator is responsible for delivery of nursing assessment and evaluation within recognized standards of nursing practice, care coordination and health education with identified Health Plan members through face-to-face collaboration with members and their caregivers and providers.
- Collaborates and facilitates care with member's primary care provider, UPMC Your Care Interdisciplinary Team, other departments, providers, community resources and caregivers to achieve desired member outcomes throughout the continuum of care.
- Members are followed by face-to-face interactions in their community including the hospital, providers' offices, skilled nursing facility, home, or other health care facilities.
- Review UPMC Health Plan data and EMR data and documentation in the member electronic health records as appropriate and identify gaps in care based on clinical standards of care.
- Successfully engages member to develop an individualized plan of care in collaboration with their primary care provider and the interdisciplinary team that promotes symptom management, goals of care/advanced directives, healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital admissions/readmissions, and manages social determinants of health.
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