Carole Taylor, RN, MSN
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Carole Taylor, RN, MSN, Clinical Nurse Specialist, is the Chief Clinical Officer (CCO), of Community Care Behavioral Health Organization, part of the UPMC Insurance Services Division. She is responsible for all clinically related functions of Community Care including care management, quality, complaints and grievances, and customer services operations. In this role, Ms. Taylor is responsible for ensuring that all clinically related team members respond with professional clinical expertise, and do so promptly, effectively and courteously to all requests and inquiries from members, families, providers and the public. As the CCO, Ms. Taylor is also responsible for the development and implementation of policies and procedures pertaining to Care Management, Quality and Customer Services Department functions and for monitoring operations consistent with those policies. Ms. Taylor has been responsible for the implementation of all contracts from a clinical perspective in Pennsylvania and New York.
Prior to coming to Community Care, Ms. Taylor was Vice President of Patient Services and Quality Management for a private behavioral health managed care carve-out company, managing both Medicaid and commercial contracts. She has over 40 years experience, including community mental health experience in a rural area providing program development, outreach, case management and inpatient treatment.
She has also practiced as a clinical psychotherapist for 20 years. Ms. Taylor has been on faculty at the University of Pittsburgh School of Nursing, Waynesburg College and Community College of Allegheny County, and has written publications for training books for advanced practice nurses in the era of managed care. She has done extensive conference presentations both regionally and nationally, particularly about member engagement for those who are at high risk for serious mental illness.