Total 8 job vacancies by West Penn Allegheny Health System

Company :

Job Description : 

4 South ICU/Stepdown
This unit is a 20-bed variable acuity unit; all staff is trained to the highest level of care (that being ICU), but Stepdown beds are integrated into the unit.

AHN Wexford Hospital

AHN Wexford Hospital in Wexford, PA is the newest full-service, clinician-led hospital in the Allegheny Health Network. The new AHN hospital provides world-class health care closer to home for residents in the North Hills communities of Pittsburgh. The state of the art, all-private 160-bed hospital opened in September 2021 and provides comprehensive care to patients of all ages.

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 manages, supervises, and coordinates the daily operations of a specific patient care department under the direction of the Nurse Manager, providing clinical and administrative leadership and expertise. Contributes to the strategic planning process and attainment of goals of the department/unit, the organization and network.

ESSENTIAL RESPONSIBILITIES:

LEADERSHIP:

• Role model mission, vision, and values within their defined areas of responsibility.
• Demonstrates and role models professional behavior with all staff interactions.
• Serves as change agent and role model for change to assist staff in accepting and embracing the necessary change.
• Conducts monthly unit conferences with minutes which include discussions of both unit and organizational activities and goals when delegated
• Completes annual performance appraisals on associates which includes peer feedback process, plan for professional development and employee self-appraisal on delegated associates
• Attends meetings at the direction of the nurse manager
• Promotes unit based shared governance to include ongoing support through consultation and assistance in eliminating barriers in partnership with the nurse manager
• Promotes professional development plan and conducts quarterly check-ins with staff
• Promotes and encourages nursing specialty certification in partnership with the nurse manager
• Promotes employee engagement through leadership rounding.

QUALITY AND PATIENT SAFETY:

• Identifies, plans, and implements activities in partnership with the nurse manager in specified clinical departments which ensures patient care is delivered in accordance with professional standards for nursing practice and is evidenced based, meets patient safety goals and standards and regulatory guidelines.
• Monitors departmental performance in appropriate evidence-based practices quality and patient safety goals, meeting assigned goals.
• Develops action plan for any goal not met which includes timeline.
• Participates in regulatory readiness
• Assists nurse manager in developing a yearly unit based quality plan with unit based clinical practice and performance improvement council based on identified unit needs.
• Participates in operational excellence projects using performance improvement methodologies related to through put and other quality improvement initiatives.

CUSTOMER SATISFACTION:

• Works collaboratively with patients, families, peers, and other departments in the organization/network to meet established organizational goals for patient experience..
• Investigates and provides feedback for identified patient or departmental concerns.
• Rounds daily to assess and address patient and family needs.
• Collaborates with nurse manager to Develop departmental plan to address any improvement needs.
• Assists nurse manager in meeting or show consistent progress toward meeting established patient experience goal(s) and metrics.

FINANCE:

• Ensures effective implementation of financial plan in partnership with nurse manager
• Demonstrates fiscal stewardship through effective and efficient use of staff, facilities, equipment, and other resources while maintaining patient care standards.
• Maintains both FTE and Goods/Services within established budget, completes variance reports according to established guidelines.
• Utilizes established tools to monitor monthly budget performance, conducting drill down to explain variances as needed.
• Completes daily productivity tracker
• Collaborates with nurse manager to address overtime use with individuals as needed with documentation of discussion.

PROFESSIONAL GROWTH AND DEVELOPMENT:

• Fosters the development of staff through coaching, mentoring, and creating an environment which encourages learning and use of research.
• Assures appropriate orientation and onboarding, education, credentialing, and professional development for personnel in collaboration with education development specialists
• Encourages and facilitates staff membership on councils and committees
• Encourage and facilitate attendance at nursing grand rounds and other educational programs according to educational needs assessment of unit/department or network.
• Foster peer review participation with staff an d participate in peer review with other assistant nurse managers..
• Conducts quarterly check-ins with assigned staff to review developmental goals
• Identifies one area for self-improvement annually and develops a plan to improve

QUALIFICATIONS:

Minimum

• Bachelor’s Degree in Nursing
• 1 year of demonstrated clinical leadership experience
• RN
• CPR

Preferred

• 3+ Years ICU Experience Highly Preferred
• Master’s Degree in Nursing
• National Certification (CCRN)

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 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 affirmative 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. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

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 number below.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

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 PA RN license
• Nationally recognized Case Management Certification within 5 years of start date. Incumbents in role as of 12/1/2022 have until 12/31/2025 to obtain.
• CPR certification
• 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

• Transition planning and understanding of community and facility resources
• Knowledge of motivational interviewing techniques
• BSN

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 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 affirmative 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. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

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 number below.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW:

This job participates in the development, planning, implementation, and operation of departmental projects and services; works with pharmacy director to establish short and long range departmental goals and objectives; assumes responsibility for day-to-day operations and assists with systems, regulatory requirements and performance improvement.

ESSENTIAL RESPONSIBILITIES:

• Plans, organizes, implements, and controls the preparation, distribution, and data processing activities and operations in pharmacy. Responsible to ensure that operational processes and hospital's standards and objectives are being met. Recommends, develops and implements short and long-range plans to streamline and maintain operations. (20%)
• Develops operational guidelines and introduction and education of new products and procedures to the staff. (20%)
• Supervises the activities of pharmacy staff in conjunction with Pharmacy Practice Supervisor or Pharmacist. Clarifies work expectations, and promotes staff cooperation. (20%)
• Performs the duties of a Pharmacy Practice Supervisor or Pharmacist as needed. (10%)
• Assists with the development, implementation and administration of hospital and departmental policies and procedures. Assists with personnel activities including interviewing, staffing, corrective action, and performance appraisals. (10%)
• Participates in performance improvement and regulatory compliance efforts and maintains an attitude that promotes and fosters an environment of safety. Assists in the development and implementation of performance improvement initiatives and oversite of regulatory requirements. (10%)
• Assists the Director of Pharmacy with the preparation and monitoring of the annual labor and non-labor budgets. Assists in the development and implementation of plans to control costs, including as necessary assurance that all patient daily billing is completed accurately. Assists with 340B management as applicable. (10%)
• Performs other duties as assigned or required.

QUALIFICATIONS:

Minimum

• Bachelor’s degree in Pharmacy or Doctor of Pharmacy degree (Pharm D) and 5 years experience as a staff pharmacist
• Licensed or eligible for licensure as a Registered Pharmacist in the state of PA at hire or sit for boards and obtain licensure within 120 days.

Preferred

• Master’s degree in Pharmacy, Business or Health Care Management.
• Pharmacy residency program.
• Previous supervisory experience.

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 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 affirmative 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. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

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 number below.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW:

Manages the radiation oncology's site daily operations including all clinical and non-clinical activities pertaining to staff and patients. Provides operational and financial oversight to the assigned network radiation oncology site(s) which can include hospital and/or physician practice(s). Is responsible for improving the radiation oncology's site patient satisfaction, operational efficiency, and productivity while providing cost savings and enhancing services.                                     

ESSENTIAL RESPONSIBILITIES:

• Assesses and identify opportunities for improvement in the areas of operational and process improvement, including patient access, care alignment, patient satisfaction, and maximizing revenue. Identifies barriers and implements corrective action measures to ensure positive outcomes for the assigned radiation oncology site(s). (20%)
• Develops, plans, and budgets on a strategic, tactical, and operational level for assigned radiation oncology site(s). (20%)
• Supervises staff, resolves problems, and implements approved disciplinary action. Interviews, hires, trains, and conducts performance evaluations for staff assigned radiation oncology site(s). (20%)
• Manages and monitors key financial and revenue cycle metrics, including staff hours, resource allocation, expense budget, patient volumes, and the revenue cycle process for the assigned radiation oncology site. (15%)
• Manages all phases of onboarding and exit processes for the assigned radiation oncology site including providing support to new employees and physicians, establishing processes, and site preparation. (5%)
• Manages all phases of exit process for the site including medical records processing, site breakdown, and staff assignments. (5%)
• Trains new managers and employees at newly opened sites in policies and procedures. Provides ongoing guidance and support to all employees work at the assigned radiation oncology site. (5%)
• Works constructively with all designated physicians, leadership, and health professionals to accomplish organization goals. (5%)
• Other duties as assigned. (5%)

QUALIFICATIONS:

Minimum

• Bachelor's degree in healthcare administration, business administration, related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 3 - 5 years’ experience as a Registered Technologist in Radiation Therapy with the American Registry of Radiologic Technologists
• Radiation Therapy Certification and Registration - American Registry of Radiologic Technologists (ARRT)

Preferred

• None

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 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 affirmative 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. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

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 number below.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW:

Manages, supervises, and coordinates the daily operations of a specific patient care department providing clinical and administrative leadership and expertise. Contributes to the strategic planning process and attainment of goals of both their departments and the organization.

ESSENTIAL RESPONSIBILITIES:

LEADERSHIP: Responsible for implementation of mission, vision, philosophy, core values, evidence based practice, and standards of the organization, and nursing service within their defined areas of responsibility.

• Demonstrates and role models professional behavior with all staff interactions.
• Serves as change agent and role model for change to assist staff in accepting and embracing the necessary change.
• Conducts monthly unit conferences with minutes which include discussions of both unit and organizational activities and goals.
• Completes annual performance appraisals on associates.
• Attends greater than 50% of leadership meetings.
• Promotes unit based shared governance to include ongoing support through consultation and assistance in eliminating barriers.
• Promotes RN career ladder with staff.
• Promotes and encourages nursing specialty certification.

QUALITY AND PATIENT SAFETY: Identifies, plans, and implements activities in specified clinical departments which ensures patient care is delivered in accordance with professional standards for nursing practice and is evidenced based, meets patient safety goals and standards and regulatory guidelines.

• Monitors departmental performance in appropriate EBPs, quality and patient safety goals, meeting assigned goals.
• Develops action plan for any goal not met which includes timeline.
• Participates in 85% of monthly Joint Commission mock tracers.
• Develops a yearly unit based quality plan with unit based clinical practice and PI council based on identified unit needs.
• Assures departmental participation and compliance with Six Sigma projects goals related to through put.

CUSTOMER SATISFACTION: Assures that department work collaboratively with patients, families, peers, and other departments in the organization to meet established organizational goals for customer satisfaction.

• Reviews bi-weekly Press Ganey report providing feedback to staff at monthly unit conference.
• Investigates and provides feedback for identified patient or departmental concerns.
• Rounding for Purpose weekly to assess patient and family needs.
• Develops departmental plan to address any improvement needs.
• Meet or show consistent progress toward meeting established patient satisfaction goal.

FINANCE: Demonstrates fiscal stewardship through effective and efficient use of staff, facilities, equipment, and other resources while maintaining patient care standards.

• Maintains both FTE and Goods/Services within established budget, completes variance reports according to established guidelines.
• Utilizes established tools to monitor monthly budget performance, conducting drill down to explain variances as needed.
• Completes staffing report daily
• Addresses overtime use with individuals as needed with documentation of discussion.
• Reports budget performance at monthly unit conferences.

PROFESSIONAL GROWTH AND DEVELOPMENT: Fosters the development of staff through coaching, mentoring, and creating an environment which encourages learning and use of research.

• Assures appropriate orientation, education, credentialing, and professional development for personnel.
• Encourages and facilitates staff membership on research committee, clinical practice councils.
• Encourage and facilitate attendance at nursing grand rounds.
• Foster peer review.
• Set developmental goals with staff member at yearly evaluation.
• Identifies one area for self-improvement annually and develops a plan to improve.

QUALIFICATIONS:

Minimum

• Bachelor’s Degree in Nursing
• 3 years of leadership experience
• RN
• CPR

Preferred

• Master’s Degree in Nursing
• National Certification

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 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 affirmative 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. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

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 number below.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW:

The Social Work Case Manager in Care Management is a professional clinician that utilizes principles of care coordination to support patients and their families/caregivers.  The incumbent 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) in order 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 (Obtain within 6 months of hire)
• Experience in a hospital or health care setting
• LSW required within 1 year of hire.  Incumbents in the role on or before 12/31/2022 have until 12/31/2023 to obtain.

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 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 affirmative 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. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

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 number below.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW:

The Social Work Case Manager in Care Management is a professional clinician that utilizes principles of care coordination to support patients and their families/caregivers.  The incumbent 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) in order 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 (Obtain within 6 months of hire)
• Experience in a hospital or health care setting
• LSW required within 1 year of hire.  Incumbents in the role on or before 12/31/2022 have until 12/31/2023 to obtain.

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 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 affirmative 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. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

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 number below.

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Company :

Job Description : 

GENERAL OVERVIEW:

The Social Work Case Manager in Care Management is a professional clinician that utilizes principles of care coordination to support patients and their families/caregivers.  The incumbent 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) in order 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 (Obtain within 6 months of hire)
• Experience in a hospital or health care setting
• LSW required within 1 year of hire.  Incumbents in the role on or before 12/31/2022 have until 12/31/2023 to obtain.

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 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 affirmative 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. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

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 number below.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice