RN Case Manager Emergency, Allegheny General

Highmark Health • Pittsburgh, PA

1d • Onsite

About The Position

The Case Management Department at Allegheny General Hospital assists patients and their support systems in managing medical conditions effectively. Our team of talented Case Managers aims to individualize health care to meet each patient's specific needs with a patient-centric and outcome-driven focus.

AGH is a Level I Shock Trauma Center with 5 state-of-the-art ICUs and a State-of-the-art Cancer Center, boasting over 550 beds.

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 a commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees.

Requirements

• 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.
• 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

Responsibilities

• Coordinates the clinical care with the patient, family, physician(s), and other members of the interdisciplinary team.
• Completes and documents admission, concurrent, and discharge reviews of all inpatients and selected outpatients.
• Develops and implements an effective discharge plan while incorporating input from the patient, family, physician(s), and other members of the interdisciplinary team.
• Identifies, analyzes, collects, and communicates data relative to quality and cost issues related to the assigned patient population.
• Expands industry knowledge base for professional growth and development while providing ongoing applicable education to the patient, family, physician(s), and other members of the interdisciplinary team (IDT) including, but not limited to, appropriateness of care, documentation requirements, severity of illness and intensity of services criteria, insurance benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues.
• Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies.

What This Job Offers

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