Social Work Case Manager - Full Time - Day Shift - AGH

Highmark Inc

Pittsburgh, PA

JOB DETAILS
SKILLS
Case Management, Clinical Medicine, Communication Skills, Community Support, Computer Security, Corporate Policies, Crisis Intervention, English Language, Facebook, Federal Bureau of Investigation (FBI), Federal Laws and Regulations, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Health Plan, Healthcare, Hospital, Hospital Systems, Information/Data Security (InfoSec), Internet Security, Legal Standards, LinkedIn, Mentoring, Patient Care, Patient Education, Psychiatry and Mental Health, Quality Management, Quality of Care, Regulatory Compliance, Risk, Sales, Security Policy, Set Goals, Social Work, State Laws and Regulations, Team Player, Time Management, YouTube
LOCATION
Pittsburgh, PA
POSTED
30+ days ago

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Clinical Services

Social Work Case Manager - Full Time - Day Shift - AGH

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Social Work Case Manager - Full Time - Day Shift - AGH

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Pittsburgh PA, 15212, 320 E N Ave.

Company :

Allegheny Health Network

Job Description :

$10,000 sign on bonus available

GENERAL OVERVIEW:

This job collaborates with the interdisciplinary team of providers, clinicians, health plans, and external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness.

ESSENTIAL RESPONSIBILITIES

  • Contributes to and/or completes initial and ongoing comprehensive assessment. Provides interventions and implements recommendations after engaging patients and their caregivers/families. Focuses on the individual"s risk related to social determinants of health to assure successful coordination of care across the continuum. (30%)
  • Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community-based resources. (25%)
  • Educates patient, family/caregiver and physician regarding most appropriate level of care post discharge and how to access community support. Advocates for the patient, family/caregiver through effectively communicating with interdisciplinary team members, payers and post-acute partners to assure the safest transition. (20%)
  • Serves as a resource to provide counseling and intervention related to treatment decisions and end-of-life issues. Drives collaborative conversations to establish goals of care. Provides crisis interventions in cases involving Child Abuse and Neglect, Domestic Violence, Adult and Older Adult Abuse, Institutional Abuse Sexual Assault, Mental Health Disorders, Substance Use Disorders, and Identification of a Surrogate Decision Maker/Guardianship. (15%)
  • Promotes individual professional growth and development through certification, mentoring/precepting, and/or participation on department/hospital/system committees. (5%)
  • Supports Department based goals that contribute to the success of the organization. (5%)
  • Other duties as assigned.

QUALIFICATIONS:

Minimum

  • Master"s degree in Social Work (Incumbents in the role on or before 4/21/2025 have 6 months from hire date to obtain)
  • Experience in a hospital or health care setting
  • PA LSW and/or LCSW required (Incumbents in the role on or before 04/21/2025 have 12 months from hire date to obtain)
  • Act 34 Criminal Background Clearance Certificate
  • Act 33 Child Abuse Clearance Certificate
  • Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.

Preferred

  • None

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

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Job Details

  • Job category Clinical Services
  • Position Type Full Time
  • Posted 05/01/2026
  • Location(s) Pittsburgh PA, 15212, 320 E N Ave.
  • Line of Business
  • Entity
  • Recruiter
  • Hiring Manager
  • Experience Level
  • Job Family Care/Case Management-AHN
  • Req ID J280585

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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.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org.

2026 Highmark Health. All Rights Reserved.

About the Company

H

Highmark Inc

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.

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Healthcare Services
FOUNDED
1996
WEBSITE
https://www.highmark.com/hmk2/index.shtml