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Case Manager - RN (Full Time), St.Vincent

Highmark Inc

  • Indianapolis, IN
  • 1 day ago

    Highlights

    Effectively identifies barriers and analyzes situations for assigned patient population, including risk for admission/readmission, external resources, and patient/family capacity in order to determine safe plans for transition and care coordination. Incumbents will serve as professional role models, utilizing their expertise in care management to promote a collaborative professional environment that optimizes outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization.
    Highmark Inc

    Numbers & Facts

    LocationIndianapolis, IN
    IndustryHealthcare Services
    Company Size1,000 to 1,499 employees
    Year Founded1996
    Websitehttps://www.highmark.com/hmk2/index.shtml

    Description

    Apply for Case Manager - RN (Full Time), St.Vincent in Erie | Careers at Highmark Health Skip to content

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    Case Manager - RN (Full Time), St.Vincent

    232 West 25th Street, Protoco-SVHS, Erie PA 16544, United States

    Full time

    Apply with Bridget Standard Application

    Job DescriptionWorking with UsBenefits & PerksHear From Our TeamHow We Hire

    Job Details

    Category Nursing

    Type Full time

    Location(s) 232 West 25th Street, Protoco-SVHS, Erie PA 16544, United States

    Brand Allegheny Health Network

    Posted 11/10/2026

    Req ID J288038

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    Job Description

    Company :

    Allegheny Health Network

    Job Description :

    St. Vincent Hospital

    St. Vincent Hospital is a Magnet-designated hospital for excellence in nursing, serving the people in the Lake Erie region since 1875 with a quality of care and service second to none!

    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:

    This job has responsibility for creating, implementing, and evaluating care plans for patients and their families/caregivers across the health continuum. Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health plans, and external partners while advocating for patients and caregivers in order to align goals and plans. Incumbents will serve as professional role models, utilizing their expertise in care management to promote a collaborative professional environment that optimizes outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization. Serves as key team members in the management of readmissions, length of stay, ED utilization, and patient/family satisfaction.

    ESSENTIAL RESPONSIBILITIES:

    • Contributes to or completes comprehensive assessment of patients and their families/caregivers, inclusive of clinical/physical needs, social determinants of health, and economic barriers impacting their ability to manage their health. (20%)
    • Effectively identifies barriers and analyzes situations for assigned patient population, including risk for admission/readmission, external resources, and patient/family capacity in order to determine safe plans for transition and care coordination. (20%)
    • Coordinates the clinical care with the patient, family, provider(s), and members of the interdisciplinary team. (25%)
    • Advocates for patients and families through effectively communicating with providers, interdisciplinary team members, payers, and post-acute partners to assure effective outcomes and care. (15%)
    • Leverage understanding of industry standards to provide applicable education to patients, families, providers, and interdisciplinary team partners including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and limitations, transition planning requirements, length of stay, and resource utilization. (10%)
    • Actively seeks professional development opportunities through professional certification, mentoring/precepting, and/or participation on department/hospital/system committees. (5%)
    • Adheres to the policies, procedures, rules, regulations, and requirements of hospitals and other clinical settings. (5%)

    QUALIFICATIONS:

    Minimum

    • 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).
    • 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)

    Preferred

    • Nationally recognized Case Management Certification
    • Transition planning and understanding of community and facility resources
    • Knowledge of motivational interviewing techniques
    • BSN

    LICENSES or CERTIFICATIONS

    Required

    • None

    Preferred

    • ACM Certification (Accredited Case Manager) - American Case Management Association - American Case Management Association
    • Case Management - American Board of Occupational Health Nurses (ABOHN) and

    Certified Case Manager (CCM)

    • Commission for Case Manager Certification (CCMC)

    Additional Employment Requirements:

    • CPR - American Heart Association
    • Act 34 Criminal Background Clearance Certificate
    • Act 33 Child Abuse Clearance Certificate
    • Act 73 FBI Fingerprinting Criminal Background Clearance Certificate
    • Professional Certification within 5 years of start date. Incumbents in role as of 12/1/2022 have until 12/31/2026 to obtain

    Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

    Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

    As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

    Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

    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.

    California Consumer Privacy Act Employees, Contractors, and Applicants Notice

    Why Choose Allegheny Health Network?

    When you join AHN, you're joining a dynamic, integrated network of 16 hospitals, advanced surgery centers, and neighborhood Health + Wellness Pavilions serving Western Pennsylvania.

    We're driven by a simple promise: to get healthcare right. For us, that means constantly improving access, championing clinical quality, and putting the patient at the center of everything we do. As part of our team, you'll have the resources, the reach, and the support to make a meaningful difference every single day.

    Benefits & Perks

    Taking Care of You

    Your Benefits at a Glance

    • Health: Complete medical, dental, vision, prescription, HSA, and FSA coverage.
    • Time Off: Paid vacation, holidays, and dedicated volunteer time.
    • Finance: Employer-sponsored 401(k), life/disability insurance, and tuition reimbursement.
    • Perks: Exclusive team discounts on shopping, memberships, and events.

    Medical Coverage

    Medical, prescription drug, dental, and vision coverage

    Paid Time Off

    Vacation, holidays, volunteering

    Retirement Package

    Employer-sponsored 401(k) plan

    Insurance & Coverage

    Life, AD&D and disability insurance

    Onsite & Preventative Care

    We make staying healthy easy with 100% covered preventative exams (including flu shots) and onsite pharmacy services at major campuses. Plus, stay active with free fitness center access at major Highmark campuses, Allegheny General, and West Penn Hospital.

    Make Mindful Changes

    Secure bicycle parking at major campuses. Healthy food options at onsite cafeterias. Stress management classes including yoga, mindfulness, and meditation.

    Holistic Support, 24/7

    Work-life resources including assistance programs and financial counseling services. 24/7 telephone access to health and wellness coaching.

    Get Rewarded for Giving Back

    Health incentive program that rewards team members. Team member networks to gather in the name of health. Paid volunteer time and incentives for making a difference.

    Hear from Our Team

    Real people, real stories

    "I have met some really great people over the years at Highmark Health and the company has treated me really well. I get really good benefits. I"ve always been rewarded for working hard. That"s what keeps me here."

    Victoria T.

    Associate Strategy Analyst, enGen

    "I love participating with the PRIDE BRG. It"s an engaged, dynamic group of almost 400 people. I also love to turn on the digital hub on my computer and see what"s going on with any of the Business Resource Groups. It"s really neat to be able to support other BRGs and see others support PRIDE. Every time I go to a different BRG event, I always feel welcome, even if I"m not part of that group."

    Amanda M.

    Director of Social Determinants of Health | Vice Chair of PRIDE

    Our Hiring Process: Step-by-Step

    1. Apply

    Find a role that sparks your passion and submit your application! We'll send an immediate confirmation email, and our team will review your qualifications over the next 1-2 weeks.

    1. Interview

    If your profile is a great match, we'll reach out to schedule your interview-whether by phone, video, or in person. Don"t worry, we'll provide all the prep details in advance so you can shine.

    1. Job Offer

    The moment you've been waiting for! If selected, we'll connect to celebrate and walk you through the details: compensation, benefits, paid time off, and all the perks of joining the team.

    1. Pre-Employment

    After you accept online, we'll guide you through standard screening (including a background check and drug screen, plus health screenings for certain clinical roles). Once cleared, we"ll officially confirm your start date!

    1. Onboarding

    Welcome aboard! Before Day 1, we'll send everything you need to hit the ground running-including your schedule, location, and the required identification documents to bring with you.

    Bonus Fast-Track Tip

    Applying for EVS, Dietary, or Customer Service roles? You can skip the traditional line and chat with Bridget, our AI recruiting assistant, to find open roles and schedule an eligible interview instantly.

    Apply Now

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    Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

    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 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.

    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

    Highmark Health. All Rights Reserved.

    About Company

    Highmark provides millions of people with the security of quality health insurance

    Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.

    Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.

    Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

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