RN Full-time
Allegheny Health Network

RN, Inpatient Case Manager - Jefferson - Sign On Bonus Eligible

apartment Allegheny Health Network location_onClairton, PA, US
Apply Now
Company

Allegheny Health Network

Job Description

GENERAL OVERVIEW

This job has responsibility for creating, implementing, and evaluating care plans for patients and their families/caregivers across the health continuum. Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health plans, and external partners while advocating for patients and caregivers in order to align goals and plans. Incumbents will serve as professional role models, utilizing their expertise in care management to promote a collaborative professional environment that optimizes outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization. Serves as key team members in the management of readmissions, length of stay, ED utilization, and patient/family satisfaction.

ESSENTIAL RESPONSIBILITIES
  • Contributes to or completes comprehensive assessment of patients and their families/caregivers, inclusive of clinical/physical needs, social determinants of health, and economic barriers impacting their ability to manage their health. (20%)
  • Effectively identifies barriers and analyzes situations for assigned patient population, including risk for admission/readmission, external resources, and patient/family capacity in order to determine safe plans for transition and care coordination. (20%)
  • Coordinates the clinical care with the patient, family, provider(s), and members of the interdisciplinary team. (25%)
  • Advocates for patients and families through effectively communicating with providers, interdisciplinary team members, payers, and post-acute partners to assure effective outcomes and care. (15%)
  • Leverage understanding of industry standards to provide applicable education to patients, families, providers, and interdisciplinary team partners including but not limited to appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and limitations, transition planning requirements, length of stay, and resource utilization. (10%)
  • Actively seeks professional development opportunities through professional certification, mentoring/precepting, and/or participation on department/hospital/system committees. (5%)
  • Adheres to the policies, procedures, rules, regulations, and requirements of hospitals and other clinical settings. (5%)

QUALIFICATIONS

Minimum
  • Bachelor’s Degree in Nursing -OR- Bachelor’s Degree and Nursing Diploma -OR- 6 years of relevant experience in lieu of a degree
  • 3 years in a clinical nursing role
  • Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).
  • Professional Certification within 5 years of start date. Incumbents in role as of 12/1/2022 have until 12/31/2025 to obtain
  • Critical thinking and problem solving
  • Flexibility and adaptability to change
  • Strong communication and collaboration skills with ability to tailor style according to target audience (providers, peers, clinical team members, patients, families)
  • 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
  • Nationally recognized Case Management Certification
  • Transition planning and understanding of community and facility resources
  • Knowledge of motivational interviewing techniques
  • BSN

LICENSES or CERTIFICATIONS

Required
  • None

Preferred
  • ACM Certification (Accredited Case Manager) - American Case Management Association - American Case Management Association
  • Case Management - American Board of Occupational Health Nurses (ABOHN) and Certified Case Manager (CCM)
  • Commission for Case Manager Certification (CCMC)

Disclaimer The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

#ind123

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.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Full-time
Allegheny Health Network

RN Preadmission Testing Specialist / SEIU - R, AVH, Full Time

apartment Allegheny Health Network location_onNatrona Heights, PA
Company Allegheny Health Network Job Description GENERAL OVERVIEW Provides clinical support between patients and physicians. Essential Responsibilities Assesses patients and test results, reviews results with physicians and ensures patient communication regarding results and/or recommendations per physician order. (20%) Assesses health status/needs during the ambulatory visit or over the phone using interviewing skills and nursing knowledge. Formulates and communicates an action plan. Implements plan and/or action after discussion with responsible physician. (10%) Coordinates and schedules all patient testing including surgeries and coordinate OR schedule. Assess blood work prior to surgery. (10%) Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn. (10%) Provides clinical support during office hours. (50%) Qualifications Minimum Nursing School Diploma required Current PA licensure as an RN 2 years experience as a surgical RN 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 BA/BS Degree preferred Experience as an RN in the area of specialty, ambulatory experience, cardiovascular experience, and outpatient setting experience 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. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
RN Full-time
Allegheny Health Network

RN Registered Nurse / SEIU - R, Rehab, Full Time, AVH

apartment Allegheny Health Network location_onNatrona Heights, PA
Company Allegheny Health Network Job Description GENERAL OVERVIEW Utilizes the nursing process to provide and direct delivery of patient care in accordance with established policies, procedures and protocols for inpatients, outpatients, and emergency room patients. Essential Responsibilities Performs a comprehensive patient assessment to identify patient needs. (25%) Develops and implements a comprehensive plan of care. (20%) Performs and documents direct patient care and patient education according to nursing standards of practice. (20%) Identifies and responds to patient condition to achieve positive patient outcomes. (20%) Directs and delegates care provided by ancillary team members. (15%) Qualifications Minimum Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). CPR certification Disclaimer The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 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. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
RN ER Full-time
Allegheny Health Network

RN, ED - AVH, Full Time

apartment Allegheny Health Network location_onNatrona Heights, PA
Company Allegheny Health Network Job Description Allegheny Valley Hospital is a 188-bed community, union hospital serving the surrounding neighborhoods of Natrona Heights. Our 25 bed Emergency Department is one of the busiest ED’s in the area. We also have a seclusion room for those in a mental health crisis. 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. General Overview Utilizes the nursing process to provide and direct delivery of patient care in accordance with established policies, procedures and protocols for inpatients, outpatients, and emergency room patients. Essential Responsibilities Performs a comprehensive patient assessment to identify patient needs. (25%) Develops and implements a comprehensive plan of care. (20%) Performs and documents direct patient care and patient education according to nursing standards of practice. (20%) Identifies and responds to patient condition to achieve positive patient outcomes. (20%) Directs and delegates care provided by ancillary team members. (15%) Qualifications Minimum Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). CPR certification Disclaimer The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 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. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
RN Manager/Supervisor ER Full-time
Allegheny Health Network

Assistant Nurse Manager, ED - AVH

apartment Allegheny Health Network location_onNatrona Heights, PA
Company Allegheny Health Network Job Description Allegheny Valley Hospital is a 188-bed community, union hospital serving the surrounding neighborhoods of Natrona Heights. Our 25 bed Emergency Department is one of the busiest ED’s in the area. We also have a seclusion room for those in a mental health crisis. 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. General Overview This job manages, supervises, and coordinates the daily operations of a specific patient care department under the direction of the Nurse Manager, providing clinical and administrative leadership and expertise. Contributes to the strategic planning process and attainment of goals of the department/unit, the organization and network. Essential Responsibilities LEADERSHIP Role model mission, vision, and values within their defined areas of responsibility. Demonstrates and role models professional behavior with all staff interactions. Serves as change agent and role model for change to assist staff in accepting and embracing the necessary change. Conducts monthly unit conferences with minutes which include discussions of both unit and organizational activities and goals when delegated Completes annual performance appraisals on associates which includes peer feedback process, plan for professional development and employee self-appraisal on delegated associates Attends meetings at the direction of the nurse manager Promotes unit based shared governance to include ongoing support through consultation and assistance in eliminating barriers in partnership with the nurse manager Promotes professional development plan and conducts quarterly check-ins with staff Promotes and encourages nursing specialty certification in partnership with the nurse manager Promotes employee engagement through leadership rounding. QUALITY AND PATIENT SAFETY Identifies, plans, and implements activities in partnership with the nurse manager in specified clinical departments which ensures patient care is delivered in accordance with professional standards for nursing practice and is evidenced based, meets patient safety goals and standards and regulatory guidelines. Monitors departmental performance in appropriate evidence-based practices quality and patient safety goals, meeting assigned goals. Develops action plan for any goal not met which includes timeline. Participates in regulatory readiness Assists nurse manager in developing a yearly unit based quality plan with unit based clinical practice and performance improvement council based on identified unit needs. Participates in operational excellence projects using performance improvement methodologies related to through put and other quality improvement initiatives. CUSTOMER SATISFACTION Works collaboratively with patients, families, peers, and other departments in the organization/network to meet established organizational goals for patient experience.. Investigates and provides feedback for identified patient or departmental concerns. Rounds daily to assess and address patient and family needs. Collaborates with nurse manager to Develop departmental plan to address any improvement needs. Assists nurse manager in meeting or show consistent progress toward meeting established patient experience goal(s) and metrics. FINANCE Ensures effective implementation of financial plan in partnership with nurse manager Demonstrates fiscal stewardship through effective and efficient use of staff, facilities, equipment, and other resources while maintaining patient care standards. Maintains both FTE and Goods/Services within established budget, completes variance reports according to established guidelines. Utilizes established tools to monitor monthly budget performance, conducting drill down to explain variances as needed. Completes daily productivity tracker Collaborates with nurse manager to address overtime use with individuals as needed with documentation of discussion. PROFESSIONAL GROWTH AND DEVELOPMENT Fosters the development of staff through coaching, mentoring, and creating an environment which encourages learning and use of research. Assures appropriate orientation and onboarding, education, credentialing, and professional development for personnel in collaboration with education development specialists Encourages and facilitates staff membership on councils and committees Encourage and facilitate attendance at nursing grand rounds and other educational programs according to educational needs assessment of unit/department or network. Foster peer review participation with staff an d participate in peer review with other assistant nurse managers.. Conducts quarterly check-ins with assigned staff to review developmental goals Identifies one area for self-improvement annually and develops a plan to improve Qualifications Minimum Bachelor’s Degree in Nursing required within 3 years of hire or transfer 1 year of demonstrated clinical leadership experience Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). CPR certification Preferred Master’s Degree in Nursing National Certification ED Experience Disclaimer The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 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. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
RN ER Full-time
Allegheny Health Network

RN, ED - AVH, Full Time

apartment Allegheny Health Network location_onNatrona Heights, PA
Company Allegheny Health Network Job Description Allegheny Valley Hospital is a 188-bed community, union hospital serving the surrounding neighborhoods of Natrona Heights. Our 25 bed Emergency Department is one of the busiest ED’s in the area. We also have a seclusion room for those in a mental health crisis. 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. General Overview Utilizes the nursing process to provide and direct delivery of patient care in accordance with established policies, procedures and protocols for inpatients, outpatients, and emergency room patients. Essential Responsibilities Performs a comprehensive patient assessment to identify patient needs. (25%) Develops and implements a comprehensive plan of care. (20%) Performs and documents direct patient care and patient education according to nursing standards of practice. (20%) Identifies and responds to patient condition to achieve positive patient outcomes. (20%) Directs and delegates care provided by ancillary team members. (15%) Qualifications Minimum Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). CPR certification Preferred ED Experience Disclaimer The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 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. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice