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

Allegheny Health Network; Pittsburgh (Allegheny County); On-site; USD 95,000 - 115,000; Full time

Job summary

Allegheny Health Network in Pittsburgh seeks a dedicated RN Case Manager to collaborate with palliative care providers and an interdisciplinary team to support optimal patient outcomes and resource use.

The role uses the nursing process to assess and plan care, coordinates transitions across care levels, and emphasizes goals of care conversations with patients and families.

Qualifications

• Bachelor's Degree in Nursing or equivalent experience.
• Current PA RN licensure or multi-state license via eNLC.
• Discharge planning and community resource knowledge.
• Home care or hospice experience preferred; case management and critical care exposure.

Responsibilities

• Assess patient physical, psychosocial, and economic needs for transition of care across multiple levels.
• Develop transition plan for patient and family.
• Document, verify, and validate data to monitor interventions and outcomes; collect data related to readmission.
• Comply with accreditation and regulatory requirements; integrate performance improvement and customer service.
• Participate in Goals of Care conversations with patient or proxy.
• Coordinate care between Highmark entities including Endorsed LLC, Healthcare@Home, Journeys.
• Participate in data tracking to improve clinical outcomes.
• Engage in department quality initiatives and ensure appropriate order sets.
• Use nursing process to assess, plan, evaluate, and implement a patient plan of care.
• Perform symptom assessment/management and medication titration.
• Maintain ongoing education and professional growth.
• Perform other duties as assigned.

Skills

Discharge planning

Case management

Home health care

Communication skills

HIPAA compliance

Education

Bachelor's Degree in Nursing

RN licensure PA or eNLC

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.
• Contributes to the development of the transition plan for the patient and the family.
• 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.
• Knowledgeable of and complies with accreditation and regulatory requirements. Integrates performance improvement principles and customer service principles into all aspects of job responsibilities.
• Participates in Goals of Care conversations with patient or designated proxy.
• Coordinate care between Highmark entities, including Endorsed LLC (Enhanced Community Care Management), Healthcare@Home, and Journeys.
• Participates in Highmark data tracking to improve clinical outcomes.
• Participates in department-specific quality initiatives. Assures appropriate order sets are used.
• 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.
• Perform symptom assessment/management and med titration.
• Assumes responsibility for AHN required continued education and own professional growth.
• Performs others duties as assigned or required.
  

Company
Allegheny Health Network

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.

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.
• Contributes to the development of the transition plan for the patient and the family.
• 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.
• Knowledgeable of and complies with accreditation and regulatory requirements. Integrates performance improvement principles and customer service principles into all aspects of job responsibilities.
• Participates in Goals of Care conversations with patient or designated proxy.
• Coordinate care between Highmark entities, including Endorsed LLC (Enhanced Community Care Management), Healthcare@Home, and Journeys.
• Participates in Highmark data tracking to improve clinical outcomes.
• Participates in department-specific quality initiatives. Assures appropriate order sets are used.
• 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.
• Perform symptom assessment/management and med titration.
• 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
  

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.

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