RN Care Coordinator, AVH, Full Time

Highmark Health • Natrona Heights, PA

4d • Onsite

About The Position

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.

Requirements

• Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).
• 5 years acute Medical/Surgical and/or specialty care nursing required.
• BA/BS degree and Nursing school diploma 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

Nice To Haves

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

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%)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level