RN Palliative Care Coordinator - West Penn - Full Time (Hybrid)

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

Job summary

Allegheny Health Network is seeking a Registered Nurse in a care coordination role in Pittsburgh. The position collaborates with palliative care teams and interdisciplinary colleagues to promote effective patient outcomes and optimal resource utilization.

The role emphasizes transition planning, data-driven care evaluations, and adherence to regulatory standards, with opportunities for professional growth through continued education and exposure to Highmark program integrations.

Qualifications

• Bachelor's Degree in Nursing is required or equivalent experience.
• Current PA RN licensure or multi-state licensure via eNLC.
• Discharge planning and community resource knowledge.
• 1 year in Home Care or hospice role is preferred.
• Case Management experience is preferred.
• 1 year in Critical Care is preferred.
• Strong time management and communication skills.

Responsibilities

• Assess patient physical, psychosocial, and economic needs for transition to varying care levels.
• Contribute to development of the transition plan for patient and family.
• Document and verify data to monitor interventions and outcomes.
• Comply with accreditation requirements and apply performance improvement principles.
• Participate in Goals of Care conversations with patient or proxy.
• Coordinate care between Highmark entities and related programs.
• Participate in data tracking to improve clinical outcomes.
• Support department quality initiatives and ensure appropriate order sets.
• Use nursing process to plan and implement patient care as prescribed.
• Perform symptom assessment/management and med titration.
• Maintain AHN required continuing education and professional growth.
• Perform other duties as assigned.

Skills

Discharge planning

Case management

Communication skills

Time management

Education

Bachelor's Degree in Nursing

Job description

General Overview

This job collaborates with palliative care providers and other members of the interdisciplinary team to support effective outcomes and shared goals for patients and their families. Professional role model utilizing expertise in care management to promote a collaborative professional environment that supports excellence of care and achievement of optimal resource utilization.

• Assumes role in assessment of patient physical, psychosocial, and economic needs for effective transition of care planning to a variety of levels of care. (20%)
• Contributes to the development of the transition plan for the patient and the family. (5%)
• Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes. Interviews and collects patient specified data and chart review related to readmission. (5%)
• Knowledgeable of and complies with accreditation and regulatory requirements. Integrates performance improvement principles and customer service principles into all aspects of job responsibilities. (10%)
• Participates in Goals of Care conversations with patient or designated proxy. (5%)
• Coordinate care between Highmark entities, including Endorsed LLC (Enhanced Community Care Management), Healthcare@Home, and Journeys. (10%)
• Participates in Highmark data tracking to improve clinical outcomes. (5%)
• Participates in department-specific quality initiatives. Assures appropriate order sets are used. (5%)
• Utilizes the nursing process to assess, plan, evaluate, and implement a patient plan of care according to the individual needs of the patient as prescribed by physician, nurse, and hospital policy, including patient and family. (20%)
• Perform symptom assessment/management and med titration. (10%)
• Assumes responsibility for AHN required continued education and own professional growth.
• Performs others duties as assigned or required.

Company

Allegheny Health Network

Job Description

This job collaborates with palliative care providers and other members of the interdisciplinary team to support effective outcomes and shared goals for patients and their families. Professional role model utilizing expertise in care management to promote a collaborative professional environment that supports excellence of care and achievement of optimal resource utilization.

Essential Responsibilities

• Assumes role in assessment of patient physical, psychosocial, and economic needs for effective transition of care planning to a variety of levels of care. (20%)
• Contributes to the development of the transition plan for the patient and the family. (5%)
• Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes. Interviews and collects patient specified data and chart review related to readmission. (5%)
• Knowledgeable of and complies with accreditation and regulatory requirements. Integrates performance improvement principles and customer service principles into all aspects of job responsibilities. (10%)
• Participates in Goals of Care conversations with patient or designated proxy. (5%)
• Coordinate care between Highmark entities, including Endorsed LLC (Enhanced Community Care Management), Healthcare@Home, and Journeys. (10%)
• Participates in Highmark data tracking to improve clinical outcomes. (5%)
• Participates in department-specific quality initiatives. Assures appropriate order sets are used. (5%)
• Utilizes the nursing process to assess, plan, evaluate, and implement a patient plan of care according to the individual needs of the patient as prescribed by physician, nurse, and hospital policy, including patient and family. (20%)
• Perform symptom assessment/management and med titration. (10%)
• Assumes responsibility for AHN required continued education and own professional growth.
• Performs others duties as assigned or required.

Qualifications

Minimum

• Bachelor's Degree in Nursing, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).

Preferred

• Discharge planning and community resource knowledge
• 1 year in a Home Care or hospice role
• Case Management experience
• 1 year in Critical Care
• Time management skills
• Strong communication skills

Additional Employment Requirements

• Act 34 Criminal Background Clearance Certificate
• Act 33 Child Abuse Clearance Certificate
• Act 73 FBI Fingerprinting Criminal Background Clearance Certificate
• CPR 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 behavioural 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.

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