RN Care Coordinator: Utilization & Discharge Lead

highmarkhealth; Natrona Heights (PA); On-site; USD 75,000 - 95,000; Full time

Job summary

Highmark Health in Pennsylvania seeks an experienced registered nurse to coordinate utilization management, collaborating with physicians and multidisciplinary teams to ensure resources support patients' individualized goals in appropriate settings. The role emphasizes timely decision-making and discharge planning to improve quality and cost outcomes.

Minimum qualifications include PA RN licensure (or eNLC), 5 years in acute Medical/Surgical or specialty care, and a BA/BS degree with a nursing

Qualifications

• Current State of PA RN licensure OR current multi-state licensure through eNLC.
• 5 years acute Medical/Surgical and/or specialty care nursing required.
• BA/BS degree and Nursing school diploma required.

Responsibilities

• Utilization management (50%).
• Communicates with physicians and multidisciplinary teams to manage resources and achieve patient goals.
• Implements an effective discharge plan.

Skills

RN licensure (PA or eNLC)

5 years acute Medical/Surgical

Team collaboration

Education

BA/BS degree

Nursing diploma

Job description

Highmark Health in Pennsylvania seeks an experienced registered nurse to coordinate utilization management, collaborating with physicians and multidisciplinary teams to ensure resources support patients' individualized goals in appropriate settings. The role emphasizes timely decision-making and discharge planning to improve quality and cost outcomes.

Minimum qualifications include PA RN licensure (or eNLC), 5 years in acute Medical/Surgical or specialty care, and a BA/BS degree with a nursing