Top 23 Rn case management Jobs in Erie, Pa

Case Manager - RN (Casual), St. Vincent
Allegheny Health Network —Erie, PA
- Part-time
- Hybrid work
- CPR Certification
- Nursing
- 6 years
Part Time Weekend Only Hospice RN
LECOM Visiting Nurse Association —Erie, PA
- Full-time
- Nursing
- RN License
- Writing skills
- 403(b) matching
- Health insurance
Quick Apply
4d
Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Erie —Erie, PA
- Part-time
- Master of Social Work
- RN License
- Inpatient
- Employee assistance program
- Opportunities for advancement
Quick Apply
RN Case Manager
Armor Health —Erie, PA
- Full-time
- Background check
- RN License
- HIPAA
- Health savings account
- Loan repayment program
Evaluation Professional Nurse (Safe Harbor Behavioral Health)
UPMC —Erie, PA
- $34.74 - $45.04 an hour
- Weekends as needed
- CPR Certification
- Nursing
- RN License
- Free parking
Evaluation Professional Nurse (Casual- Safe Harbor Behavioral Health)
UPMC —Erie, PA
- $34.74 - $45.04 an hour
- 8 hour shift
- CPR Certification
- Nursing
- RN License
- Free parking
Home Health Nurse RN Erie County Casual
UPMC —Erie, PA
- $36.50 - $45.04 an hour
- 8 hour shift
- Nursing
- RN License
- Mid-level
- Mileage reimbursement
- Tuition reimbursement
Part Time Weekend Only Hospice RN |
LECOM Health —Erie, PA
- Full-time
- Nursing
- RN License
- Writing skills
- 403(b) matching
- Paid time off
3d
RN - 4N Tele (Part Time), St. Vincent
Allegheny Health Network —Erie, PA
- Part-time
- Acute care
- CPR Certification
- Nursing
Home Health Registered Nurse
Recruiter Line —Erie, PA
- $80,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Opportunities for advancement
Quick Apply
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Travel PCU RN Job in Birmingham, Alabama
GIFTED Healthcare —United States
- $2,122.06 a week
- Overtime
- Vital signs
- RN License
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Travel ICU RN Job in Birmingham, Alabama
Gifted Healthcare —United States
- $2,071.19 - $2,591.84 a week
- Overtime
- Nursing
- Anatomy knowledge
- Medication administration
- Health insurance
- Dental insurance
Quick Apply
Travel Tele RN Job in Burlington, IA
GIFTED Healthcare —United States
- $2,408.08 a week
- Overtime
- Bilingual
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
2d

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Case Manager - RN (Casual), St. Vincent
Allegheny Health Network —Erie, PA
Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). 3 years in a clinical nursing role.
LPN or RN Night Shift
Andover Village Rehabilitation and Wellness —Andover, OH
Registered RN license with Ohio License. Experienced or newly licensed medical professionals are welcomed to apply. Retention bonus after 1 year!*.
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RN/LPN - Community Treatment Team
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An active Ohio RN/LPN license. Collaborate with Case Managers, Therapists, Nurse Practitioners, and Psychiatrists to develop and implement individualized…
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Home Health RN Case Manager
Ohio Living —Westerville, OH
Must possess a valid driver's license and acceptable driving record. Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN)…
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Case Manager - RN (Casual), St. Vincent

Allegheny Health Network -
Erie, PA

Apply Now

Job Details

Part-time

Qualifications

CPR Certification
Patient care

Full Job Description

Company :

Allegheny Health Network

Job Description :

St. Vincent Hospital St. Vincent Hospital is a Magnet®-designated hospital for excellence in nursing, serving the people in the Lake Erie region since 1875 with a quality of care and service second to none! 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:

Registered nurse who is proficient in the coordination of care and manages coordination of care in accordance with recognized standards of practice for Care Management. 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. Also facilitates appropriate LOS, patient satisfaction and reimbursement for all patients.

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.
In collaboration with the care team, facilitates the development and communication of the continuum of care transition plan to appropriate health service providers.
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.
Obtains or ensures acquisition of appropriate pre-certification authorizations from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party guidelines. Obtains or facilitates acquisitions of urgent / emergent authorizations, continued stay authorizations and authorizations for post-acute services as needed and with compliance with all regulatory and contractual requirements.
Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates plans of action for denial trends with the care coordination teams, performance improvement teams, physicians/physician advisor and third party payers.
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as an educational resource to all AHN staff regarding utilization review practice and governmental commercial payer guidelines. Adheres to the policies, procedures, rules, regulations and laws of the hospital and all federal and state regulatory bodies. Communicates telephonically and electronically with the outpatient providers in an effort to enhance the continuum of care.
Assumes responsibility for AHN required continued education and own professional growth.
Performs other duties as assigned or required.

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 State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).
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

Nationally recognized Case Management Certification
Transition planning and understanding of community and facility resources
Knowledge of motivational interviewing techniques
BSN

LICENSES or CERTIFICATIONS

Required

None

Preferred

ACM Certification (Accredited Case Manager) - American Case Management Association - American Case Management Association
Case Management - American Board of Occupational Health Nurses (ABOHN) and
Certified Case Manager (CCM)
Commission for Case Manager Certification (CCMC)

Additional Employment Requirements:

Professional Certification within 5 years of start date. Incumbents in role as of 12/1/2022 have until 12/31/2026 to obtain

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.

CPR – American Heart Association
Act 34 Criminal Background Clearance Certificate
Act 33 Child Abuse Clearance Certificate
Act 73 FBI Fingerprinting Criminal Background Clearance Certificate

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.

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 the email below.

For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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Refine Your Search

rn case management jobs in erie, pa

Case Manager - RN (Casual), St. Vincent

Part Time Weekend Only Hospice RN

Case Manager / PRN ( RN / RT / SW / LPN )

RN Case Manager

Evaluation Professional Nurse (Safe Harbor Behavioral Health)

Evaluation Professional Nurse (Casual- Safe Harbor Behavioral Health)

Home Health Nurse RN Erie County Casual

Part Time Weekend Only Hospice RN |

RN - 4N Tele (Part Time), St. Vincent

Home Health Registered Nurse

Staff RN - ECMO Spec / FT, nights

Travel PCU RN Job in Birmingham, Alabama

Travel ICU RN Job in Birmingham, Alabama

Travel Tele RN Job in Burlington, IA

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