RN Manager

HIGHLANDHILLS; Pittsburgh (Allegheny County); On-site; USD 70,000 - 90,000; Full time

Job summary

HIGHLANDHILLS seeks an experienced care coordination professional to work with residents and families, guiding plans of care and treatment discussions. You will participate in rounds, answer questions, and ensure timely charting and documentation.

Responsibilities include coordinating admissions/discharges, referrals, and utilization reviews, while collaborating with physicians, payers, and care teams to maintain cost-effective, high-quality care.

Qualifications

• Bachelor's Degree in Nursing or Social Work is required.
• RN license preferred; LVN/LPN acceptable.
• Two years of clinical nursing experience preferred.
• Knowledge of Medicare/Medicaid programs and benefits.

Responsibilities

• Communicate with residents and families about care plans and status.
• Attend rounds/stand-ups to coordinate care with the team.
• Complete documentation accurately and timely.
• Coordinate admissions, discharges, referrals, and utilization reviews.
• Promote cooperation among residents, families, staff, and physicians.

Skills

Care coordination

Documentation

Interdisciplinary collaboration

Patient/family communication

Time management

Education

Bachelor's Degree in Nursing or Social Work

Job description

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff and professional colleagues. Accurate charting and ability to complete necessary paperwork in a timely manner. Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurse and other ancillary partners. Must have excellent time management skills to develop organized work processes in a high volume environment with rapidly changing priorities. Intermediate computer skills. Competence maintaining professional, respectful, honest interactions with residents/families and staff and partners.

Supervisory Requirements

This position has no supervisory responsibilities.

Qualification Education and/or Experience

Bachelor's Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable. Two (2) year clinical nursing experience preferred. Knowledge of Medicare, Medi cal and Medicaid programs and benefits. PCC Knowledge Language Skills Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Ability to solve practical problems. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Certificates, Licenses, Registrations

LVN/LPN Valid License or RN Valid Licensee in the state you are working. Certificate as a certified Case Manager (CCM) a plus. Must maintain all required continuing education/licensing. Must remain in good standing with the Department of Public Health; License and Certification Division at all times.

Physical Demands

The essential functions of this position require the following physical abilities: Standing and /or walking very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and /or hearing very frequently. Tasting and /or smelling very frequently. Lifting up to 50 pounds frequently. Climbing, balancing, stooping, kneeling, crouching or crawling occasionally. Close, distance, color, peripheral, and depth perception in vision: ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.

Additional Information

Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.