Highmark Health Jobs

Company :

Allegheny Health Network

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.

Allegheny Valley Hospital is a 188 bed community, union hospital serving the surrounding neighborhoods of Natrona Heights.

GENERAL OVERVIEW

Coordinates patient progress toward achieving quality and cost outcomes; mobilizes resources and manages the system in response to concurrent variances according to the pre-established standards.

ESSENTIAL RESPONSIBILITIES

• Responsible for utilization management. (50%)

• 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. (30%)

• Implements an effective discharge plan. (20%)

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.

Preferred

• Experience in utilization management and/or employment by a third party payor/review agency preferred.

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Req ID: J244706