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Highmark Health RN Care Coordinator (Full Time)- Allegheny Valley Hospital in Natrona Heights, Pennsylvania

Company :

Allegheny Health Network

Job Description :

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.

This position will be responsible for Behavioral Health Case Management

Shift is M-F 8 hours, daylight – 1 every 6 weekends, 2 holidays/year

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: J238292

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