About the role
Company :
Allegheny Health NetworkJob Description :
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.
Allegheny Valley Hospital is a 188 bed community, union hospital serving the surrounding neighborhoods of Natrona Heights.
This position is located on-site at Allegheny Valley Hospital
This position is non-patient facing.
This person will work primarily daylight shift from 7:00am-3:00pm Monday thru Friday with weekend rotation (typically every third but varies based on need).
GENERAL OVERVIEW
Coordinates patient progress toward achieving quality and cost outcomes; mobilizes resources and manages the system in response to concurrent variances according to the preestablished standards.
ESSENTIAL 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%)
QUALIFICATIONS
Minimum
BA/BS degree and Nursing school diploma required
RN license - State of PA
5 years' acute Medical/Surgical and/or specialty care nursing 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
Preferred
- Experience in utilization management and/or employment by a third party payer/review agency 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 any category protected by applicable federal, state, or local law.
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 the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
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Aplyr's read
Highmark Health is a major player in the health insurance sector, offering diverse roles from clinical to technical, attracting healthcare professionals and tech experts alike.
What's promising
- •Highmark Health offers a comprehensive range of health insurance products, enhancing job stability.
- •The company provides diverse career paths, from clinical roles to tech positions.
- •Highmark Health's focus on wellness programs supports a culture of employee well-being.
What to watch
- •The healthcare industry faces regulatory uncertainties that could impact Highmark Health.
- •Limited public information about internal career advancement opportunities.
- •Potential for high-stress environments in clinical roles due to patient care demands.
Why Highmark Health
- •Highmark Health integrates insurance with wellness programs, offering a holistic approach to healthcare.
- •The company has a strong regional presence, particularly in Pennsylvania.
- •Highmark Health's diverse hiring across clinical and technical roles supports a multidisciplinary workforce.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Highmark Health
Highmark Inc. is a health insurance company that provides a range of health care products and services, including medical, dental, and vision insurance, as well as wellness programs.
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