RN Care Coordinator - AVH - Part-time
Highmark Health
Job Title
Utilization Management Nurse
Company
Allegheny Health Network
Location
Allegheny Valley Hospital
Shift
Daylight shift from 7:00am-3:00pm Monday thru Friday with weekend rotation (typically every third but varies based on need).
Job Description
At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees.
Coordinates patient progress toward achieving quality and cost outcomes; mobilizes resources and manages the system in response to concurrent variances according to the preestablished standards.
Essential Responsibilities
- Responsible for utilization management.
- Communicates and collaborates with physicians and multidisciplinary teams to ensure appropriate management of resources to attain patients individualized goals in an appropriate and timely manner and appropriate setting.
- Implements an effective discharge plan.
Qualifications
Minimum
- BA/BS degree and Nursing school diploma required
- RN license - State of PA
- 5 years' acute Medical/Surgical and/or specialty care nursing required
- CPR American Heart Association
- Act 34 Criminal Background Clearance Certificate
- Act 33 Child Abuse Clearance Certificate
- Act 73 FBI Fingerprinting Criminal Background Clearance Certificate
Preferred
- Experience in utilization management and/or employment by a third party payer/review agency preferred
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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Highmark HealthVacancy posted 1 day ago
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