Company :

　　Allegheny Health Network

　　Job Description :

　　Date Posted: 20230517

　　Location: Allegheny General Hospital

　　Department: Care Manager, Inpatient areas

　　Status: Full Time

　　Shift: 80 hours every two weeks

　　Inpatient Area's: Daylight, 40 hours per week shift- rotating weekends (typically every 4th to 6th weekend) or

　　Holidays (typically 1 year based on seniority)

　　Union: Yes

　　Allegheny General Hospital:

　　AGH is a Level I Shock Trauma Center

　　5 state of the art ICU’s

　　State of the art Cancer Center

　　550+ Beds

　　ALLEGHENY HEALTH NETWORK:

　　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.

　　GENERAL OVERVIEW

　　Responsible and accountable for facilitating the provision of quality and cost-effective care delivery for a designated patient population during an acute episode of care. Ensures optimal care management, patient outcomes and reimbursement based upon enactment of the nursing process.

　　ESSENTIAL RESPONSIBILITIES

　　Coordinates the clinical care with the patient, family, physician(s), and other members of the interdisciplinary team. (50%)

　　Completes and documents admission, concurrent, and discharge reviews of all inpatients and selected outpatients. (15%)

　　Develops and implements an effective discharge plan while incorporating input from the patient, family, physician(s), and other members of the interdisciplinary team. (20%)

　　Identifies, analyzes, collects, and communicates data relative to quality and cost issues related to the assigned patient population. (5%)

　　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. (5%)

　　Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies. (5%)

　　QUALIFICATIONS

　　Minimum

　　BS/BA Degree Required.

　　Current license to practice professional nursing required.

　　Current CPR certification required.

　　Inpatient clinical nursing experience in an acute hospital setting with two (2) years experience in the population to which the individual is to be assigned required or 2 years relevant CM/UM experience in another healthcare setting.

　　Requires interpersonal, analytic, and critical thinking skills for problem solving and decision making, broad and intimate knowledge of reimbursement and regulatory requirements, decisive judgment and the ability to work with minimal supervision.

　　Must be able to work in a fast-paced environment requiring adaptability, flexibility and independence while demonstrating high professional standards, leadership, and team membership skills.

　　Preferred

　　Case Management certification preferred.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

　　EEO is The Law

　　Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

　　We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

　　For accommodation requests, please contact HR Services Online at [email protected]

　　California Consumer Privacy Act Employees, Contractors, and Applicants Notice

　　Req ID: J237355