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RN Care Coordinator, Behavioral Health Specialist

2 months ago


Natrona Heights, Pennsylvania, United States Highmark Health Full time
Job Summary

At Highmark Health, we're committed to delivering exceptional care to our patients. As a RN Care Coordinator, Behavioral Health, you'll play a vital role in coordinating patient progress toward achieving quality and cost outcomes. Your expertise will help mobilize resources and manage the system in response to concurrent variances according to pre-established standards.

Key Responsibilities

• Utilization management (50%): Collaborate with physicians and multidisciplinary teams to ensure appropriate management of resources to attain patients' individualized goals in an appropriate and timely manner and setting.

• Implement effective discharge plans (20%): Ensure seamless transitions for patients, taking into account their unique needs and circumstances.

• Communication and collaboration (30%): Foster strong relationships with healthcare teams to ensure patients receive comprehensive care.

Requirements

• BA/BS degree and Nursing school diploma required

• RN license - State of PA

• 5 years acute Medical/Surgical and/or specialty care nursing required

• Experience in utilization management and/or employment by a third party payor/review agency preferred

Highmark Health is an Equal Opportunity Employer

We value diversity and inclusion and are committed to creating a workplace that reflects the communities we serve. We welcome applications from qualified candidates who share our commitment to delivering exceptional care and promoting health equity.