RN Nurse Navigator (Hybrid)- AHN

Highmark Health•PA, Working at Home - Pennsylvania, PA

5d•$34 - $54•Hybrid

About The Position

The RN Nurse Navigator serves as a consistent point of contact for referring physicians, patients, caregivers, families, and the community. The role facilitates patient flow by coordinating appointments and helping patients access clinical and supportive care services across the Network. In collaboration with a multidisciplinary team, the RN Nurse Navigator coordinates all aspects of care for adult patients within a specialized disease state to support quality, comprehensive services. The position also identifies community needs and provides education, screening, support, referrals, care coordination, and other assistance as needed. This is primarily a work-from-home position with some in-person days. Preferred candidates will live within the Greater Pittsburgh or Greater Erie regions. The role follows applicable ethical and legal standards, company policies, and behavioral expectations. Employees may have access to confidential customer information and must comply with HIPAA, company privacy and information-security policies, applicable laws and regulations, and the company’s Code of Business Conduct.

Requirements

Current Pennsylvania RN licensure or current multistate licensure through the enhanced Nurse Licensure Compact (eNLC).
1–3 years of nursing experience in the specialty.
American Heart Association CPR.
Act 34 Criminal Background Clearance Certificate.
Act 33 Child Abuse Clearance Certificate.
Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.
A valid Pennsylvania driver's license may be required.
Older Adults Protective Services Act (OAPSA) clearance may be required depending on location.

Nice To Haves

Bachelor’s degree in Nursing.
Certification in the area of expertise.
Residence within the Greater Pittsburgh or Greater Erie regions is preferred.

Responsibilities

Oversee community outreach, high-risk populations, and disease-specific sites, establishing and sustaining working relationships across the network.
Educate patients and coordinate care regarding diagnoses, treatment options, treatment plans, clinical trial information, and available resources.
Coordinate safe handoffs and care between facilities and between inpatient and outpatient settings; work with High-Risk Care Teams to reduce readmissions.
Work with or assist Registry staff with data collection, patient outcomes, and updates to care-delivery models, as applicable.
Coordinate multidisciplinary appointments and supportive care services, accompany patients to appointments as needed, and ensure medication-adherence issues are addressed.
Work with physician offices and facilities to identify at-risk patients and facilitate appropriate screening processes.
Track program data and outcomes, and identify gaps and opportunities to improve care across the continuum.
Develop or attend clinical care conferences and report on active patients to the multidisciplinary team.
Identify bereavement needs of families and develop a plan of care, as applicable.
Perform other duties as assigned or required.
Comply with HIPAA, privacy and information-security policies, the Code of Business Conduct, applicable laws and regulations, and required company policies and training.