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RN Nurse Navigator - Positive Health Clinic - Pittsburgh - FT

Highmark Inc

  • Pittsburgh, PA
  • 9 days ago

    Highlights

    ESSENTIAL RESPONSIBILITIES: Oversees community outreach, high risk populations and disease specific sites to establish and sustain working relationships within the network (health plan, physicians, office staff, social services staff, financial counselor, dietician, etc.). Coordinates appointments including all aspects of the multi-disciplinary team (physicians, consults, supportive care services, etc. and accompanies patients as needed to appointments.
    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 Nurse Navigator - Positive Health Clinic - Pittsburgh - FT

    Nursing

    Pittsburgh PA, 15212, 1307 Federal St

    Full Time

    08/27/2026

    J286585

    AH-101282 - RN Nurse Navigator

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    RN Nurse Navigator - Positive Health Clinic - Pittsburgh - FT

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    Company :

    Allegheny Health Network

    Job Description :

    GENERAL OVERVIEW:

    `Serves as the consistent point of contact for referring physicians, patients, caregivers, families, and the community. Facilitates patient flow, including coordination of appointments and assists the patient with accessing clinical and supportive care services within the Network. The RN Nurse Navigator coordinates all aspects of care in collaboration with the multidisciplinary team for all adult patients within specialized disease state to ensure they receive quality and comprehensive services. Identifies community needs and provides education, screening, support, referrals, coordination of care, and any other assistance identified as necessary.

    ESSENTIAL RESPONSIBILITIES:

    • Oversees community outreach, high risk populations and disease specific sites to establish and sustain working relationships within the network (health plan, physicians, office staff, social services staff, financial counselor, dietician, etc.).
    • Educates and coordinates care regarding patient"s diagnosis, treatment options, course of treatment, clinical trial information and resources available.
    • Works with health care team to ensure safe handoff, coordination of care between facilities as well as inpatient to outpatient or outpatient to inpatient coordination of care. Works with High-Risk Care Teams to reduce re-admissions. May work with and/or assist Registry staff with data collection, patient outcomes and updates care delivery models.
    • Coordinates appointments including all aspects of the multi-disciplinary team (physicians, consults, supportive care services, etc. and accompanies patients as needed to appointments. Ensures that medication adherence issues are addressed.
    • Works with AHN physician offices/facilities to identify at-risk patients and assists in facilitating appropriate screening processes.
    • Trends data and outcomes as established for the navigation program. Identifies gaps to improve patient care across the continuum.
    • Develops or attends an existing clinical care conference to report out on active patients to the multidisciplinary team.
    • May identify bereavement needs of families and develop plan of care.
    • Performs other duties as assigned or required.

    QUALIFICATIONS:

    Minimum

    • Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
    • 1-3 year(s) nursing experience in the specialty required.

    Preferred

    • Bachelor"s Degree in Nursing
    • Certification in area of expertise.

    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

    • Valid PA driver"s license may be required.

    • Older Adults Protective Services Act (OAPSA) clearance may be required depending on location.

    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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