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RN Care Coordinator, Part Time, AVH

Highmark Inc

  • Pittsburgh, PA
  • 9 days ago

    Highlights

    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. 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.
    Highmark Inc

    Numbers & Facts

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

    Description

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    RN Care Coordinator, Part Time, AVH

    Nursing

    Natrona Heights PA, 15065, 1301 Carlisle Street

    Part Time

    08/27/2026

    J286412

    AH-2015066RREH - RN Care Coordinator / Part-time (Hourly) / SEIU - R

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    RN Care Coordinator, Part Time, AVH

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    Company :

    Allegheny Health Network

    Job Description :

    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

    • Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)

    • 5 years" acute Medical/Surgical and/or specialty care nursing required

    Preferred

    • Experience in utilization management and/or employment by a third party payer/review agency preferred

    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

    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.

    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

    California Consumer Privacy Act Employees, Contractors, and Applicants Notice

    Recruitment Fraud Alert

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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 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.

    We provide reasonable accommodations to applicants with disabilities or who require accommodations for sincerely held religious beliefs or for known limitations related to pregnancy, childbirth, or related medical conditions. If you need an accommodation, please contact HRServices@highmarkhealth.org. This email is exclusively for accommodation requests under applicable laws.

    2026 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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