Company :

　　Allegheny Health Network

　　Job Description :

　　Job Description

　　Date Posted: 20220107

　　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.

　　Job Summary:

　　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.

　　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.

　　Requirements:

　　Current license to practice professional nursing in the state of Pennsylvania required.

　　BA/BS Required

　　Current CPR certification required.

　　Case Management certification preferred.

　　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.

　　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.

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　　Req ID: J237369