Highmark Health

RN Clinical Adjunct Instructor (Casual), Citizens School of Nursing

Company :

Allegheny Health Network

Job Description : 

Job Description This role will be on-site at AHN Citizens School of Nursing, located in the Pittsburgh Mills Mall in Tarentum, PA. Clinical sites will vary at AHN hospital locations within the Pittsburgh region. CITIZENS SCHOOL OF NURSING: Citizens School of Nursing, located in Tarentum, PA, offers a 22-month full-time RN diploma program, or a 32-month part-time RN program. 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: 

This role serves in an adjunct faculty role for the AHN Schools of Nursing. This nurse has the authority, responsibility, and accountability for clinical instruction of students. 

 

ESSENTIAL RESPONSIBILITIES 

  • Explores creative and innovative teaching and learning strategies on the clinical unit, providing quality instruction to groups of students and individuals as needed providing for daily goals and a plan of care for patients  Provides documentation of the students’ progress and sets goals and timelines with didactic faculty leaders for the accomplishments of the course objectives. Supports continuous learning and commitment to lifelong learning in the clinical area by sharing research, materials from professional organizations, presenting on the unit, and teaching students. (40%)
  • Considers maintenance of a safe environment, patient condition, complexity of the intervention and predictability of the outcome. Promotes patient safety initiatives (ex: National Patient Safety Goals). Participates in department specific quality initiatives (ex: EBP population specific). Assures appropriate order sets are used. Participates on interdisciplinary team to evaluate clinical care or health services. Willingly accepts mistakes of self and others, creating a culture in which risk taking is not only safe but expected. (15%)
  • Establishes and maintains positive relationships with students, faculty, management, patients/families, and all other members of the health care team. Demonstrates critical thinking in the identification of clinical, social, safety, psychological and spiritual issues for the patient care Serves as a role model of professional nursing practice for students and peer nursing staff. (15%)
  • Provides leadership in a professional practice setting. This role is a team player who contributes to building the team by helping others succeed through role modeling and mentoring. Shares knowledge and skills with peers and colleagues. Provides peers with both verbal and written feedback regarding clinical practice and role performance. Provides curriculum feedback to the SON. (15%)
  • Practices solid communication skills and can articulate and translate the patient's care & condition to other care providers.  Demonstrates critical thinking in the identification of clinical, social, safety, psychological and spiritual issues for the patient. Utilizes educational/teaching instances to demonstrate learning enhancements and shares the outcomes with peer practicing nurses, other faculty, and schools of nursing where applicable. (15%)
  • Other duties as assigned or requested. 

QUALIFICATIONS: 

Minimum

  • 2 years of experience in clinical area of direct responsibility may be required depending on specialty.
  • Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).

​Substitutions 

  • None

Preferred 

  • 2 years of teaching experience in a school of nursing

Additional Employment Requirements:

  • Master’s degree in nursing OR obtain within 5 years of hire.
  • Act 34 Criminal Background Clearance Certificate
  • Act 33 Child Abuse Clearance Certificate
  • Act 73 FBI Fingerprinting Criminal Background Clearance Certificate
  • CPR – American Heart Association

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.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Highmark Health

Infusion RN Registered Nurse - AHN Cancer Institute - Bethel - Casual/Float

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all actions as a licensed nurse and is accountable to patients for the quality of care delivered. GR Nursing care delivery typically crosses the outpatient to inpatient continuum, ESSENTIAL RESPONSIBILITIES The registered nurse provides transformational leadership in a professional practice setting by striving to create and participate in the future of healthcare. Team player who contributes to building the team by helping others succeed through role modeling and mentoring. Assigns or delegates tasks based on the needs of the patient and skill level of the RN, LPN or support staff. Assigns duties and lunches for staff when performing charge role. Considers maintenance of a safe environment, patient condition, complexity of the intervention and predictability of the outcome. Provides peers with both verbal and written feedback regarding clinical practice and role performance. Shares knowledge and skills with peers and colleagues and cultivates a work environment that promotes positive employees attitudes, effective communications, trust, and collaboration. Willingly accepts mistakes of self and others, creating a culture in which risk taking is not only safe but expected and creativity, flexibility, resiliency, and adaptability are key. Collaborates with an interdisciplinary team to evaluate clinical care or health services. Promotes patient safety initiatives (ex: National Patient Safety Goals). Participates in department specific quality initiatives ( ex: EBP population specific). Assures appropriate order sets are used. Supervises delegates and evaluates assigned LPN scope of practice as appropriate. 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. Derives culturally and age appropriate expected outcomes involving the patient, family and other health care providers. Analyzes the health status of the individuals and families comparing the data with the norm, when possible, to determine patient care needs. Assesses patient reports/records change of condition and notifies physician and/or supervisor and intervenes appropriately and documents accordingly. Accepts assignments in areas other than primary unit, and performs duties within individualized competency. Demonstrates a commitment to continuous lifelong learning and professional development for self and others. Promotes advancement of the profession through participation in professional organizations. Seeks both formal and independent learning activities using current research findings and other evidence to maintain and develop clinical and professional skills and knowledge. Participates in systematic peer review and obtains informal feedback regarding one’s own practice from patients, peers, professional colleagues and others. Identifies areas of strength, as well as, areas in which professional development would be beneficial. Meets time and attendance guidelines per hospital policy. Places the patient at the center of everything they do by continuously evaluating and assessing patient and family satisfaction and performing as an advocate for patients and customers. Participates in department specific patient satisfaction initiatives. Promotes compassionate communication that is patient and family centered. Assesses for and attempts to resolve patient/family concerns. Utilizes effective time management skills to complete assigned duties and responsibilities within established work shift. QUALIFICATIONS: Minimum Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) Preferred Certification in area of specialty Additional Employment 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 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. California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Independence Health System

REGISTERED NURSE, RN - PCU 3AB

Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Specialty Job Functions Other related duties as assigned. Required Qualifications Graduate of an accredited Nursing Program required. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications Bachelor’s Degree in Nursing preferred. One (1) year PCU experience. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal. Act 34 with renewal. Act 73 FBI Clearance with renewal. Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department Current ACLS or completion within one (1) year of hire/transfer date into department Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Work Environment : Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x Operates Vehicle (Company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x x Rotates All Shifts x x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x x Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x x Latex Exposure x x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure Chemo Units Chemo Units X all other Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling x x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x 10# 50# Carry x 25# Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 10# Lifting Seat Pan to Knuckle x 50# Lifting Knuckle to Shoulder x 20# Lifting Shoulder to Overhead x 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
CareOne

Registered Nurse

Job Description Balance Life & Work with a New Career Opportunity LONG TERM CARE SHORT TERM REHAB SKILLED NURSING Now Hiring – Registered Nurse – GREENSBURG, PA THE REHABILITATION & NURSING CENTER AT GREATER PITTSBURGH Responsibilities The Registered Nurse is responsible for the Shift coordination and oversight of the nursing process for residents assigned to his or her care. Responsibilities include both the direct and indirect provision of care according to each resident's nursing and medical plan of care and in accordance with state and federal regulations and accepted nursing standards of practice. Job duties include, but are not limited to: Provide direct nursing care to assigned residents in accordance with the nursing process. May be assigned to function as Medication/Treatment Nurse, unit Charge Nurse, or Supervisor. Direct day to day functions of Licensed Practical Nurses and Certified Nursing Assistants, assuring compliance with state and federal regulations and facility policies and processes. Provide assessment of and responds to resident conditions utilizing the nursing process. Work cooperatively with other members of the facility interdisciplinary team. Maintain effective communication with other members of the interdisciplinary team utilizing facility processes in order to assure the highest standard of care is maintained for each resident assigned to his or her care. Complete and ensure LPN and C.N.A. documentation of care and services rendered according to facility policies and procedures. Complete reports such as the 24-hour change in condition report, Incident and Accident reports, etc. according to the facility policy and procedure and as assigned by the Director of Nursing Services. Provide immediate response to situations of resident risk such as allegations of abuse, neglect or misappropriation of property. Report incidents timely and to appropriate persons per facility policy. Ensure timely and accurate medication and treatment administration. Communicate to physician and documents changes in resident condition utilizing both objective and subjective nursing assessment. Document and implement changes in nursing and medical plans of care. According to facility policy and procedure, assure that all members of the interdisciplinary team are aware of and understand changes in resident nursing and/or medical plan of care. Position Requirements Associate's Degree from credentialed school of nursing. Currently licensed as a Registered Nurse in the state of practice. 1 year of related nursing experience About Us The CareOne mission is to define excellence within the health care community. We are dedicated to Maximizing Patient Outcomes. We treat Residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our Centers and Communities. We work to maintain the highest standards of care and service for Residents, families and our valued employees. We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time Employees: Comprehensive Healthcare Benefits Multiple Medical Plans Including Pharmacy Including Teladoc Multiple Dental Plans Vision Plan Health Savings Account (eligibility restrictions apply) Flexible Spending Accounts Voluntary Life and AD&D Short-Term and Long-Term Disability Plans Hospital Indemnity Insurance Critical Illness Insurance Accident Insurance Whole Life Insurance Medicare Employee Assistance Legal Plan Commuter Benefits 401k Retirement Plan Employee Assistance Program (available to all employees) Paid Time Off Vacation Sick Plans in accordance with state laws Opportunities to advance and grow your career If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. We have a graciously appointed facility with strong belief in patient care and service; join us at our beautiful facility! We are an Equal Opportunity Employer EEO/AA/M/F/DV
Independence Health System

REGISTERED NURSE RN - HOSPICE

Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following Home Health and Hospice and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and controlled substance regulations. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients and caregivers Promote patient's independence by establishing patient care goals, teaching patient/caregivers to understand condition, medications, and self-care skills, and answering questions. Document patient care services by charting in patient and department records Maintain continuity among nursing teams by documenting and communicating action, irregularities, and continuing needs using Nurse Knowledge Exchange techniques Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Maintain nursing supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; using equipment and supplies as needed to accomplish job results Provide direct and indirect supervision of personal care provided by Home Health Aides in the patients’ homes, in accordance with federal regulation and accrediting bodies Resolve patient problems and needs by utilizing multidisciplinary team strategies Maintain a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team continuous quality improvement and problem-solving methods Contribute to team effort by accomplishing related results as needed Hospice Role to understand the Hospice philosophy and perform care accordingly to enhance the quality of life of the terminally ill patient Maintain and demonstrate an understanding of the Hospice benefit and comply with regulatory conditions of participation Assess eligibility for Hospice care and obtain the informed consent prior to the initiation of services Function as a primary nurse and core member of the Interdisciplinary Group to develop a plan of care that addresses the physical, psychosocial, emotional and spiritual needs of the terminally ill patient and family Follow established guidelines for pain and symptom management to enhance quality of life Educate patient and caregivers regarding the care needs at the end-of-life including palliative care measures Mental health role- in conjunction with the physician, implement mental health concepts and psychiatric using principles in the plan of care Provide supportive psychotherapy Demonstrate knowledge of commitment laws, mental health clinical programming, and community resources Make appropriate referrals based on the nursing assessment and in collaboration with the physician Function as a resource for Agency staff with patients demonstrating mental health problems as a secondary diagnosis Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. Six (6) months medical/surgical experience Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience (please add any additional requirements) Bachelor’s Degree in Nursing preferred. RN’s with one (1) year experience in medical/surgical nursing or other healthcare related field; IV and phlebotomy training; certification in an applicable area; Bachelor of Science degree in nursing. For Hospice- prior Hospice and/or oncology experience; Hospice and Palliative Care Certification Experience in Healthcare setting. License, Certification & Clearances (please add any additional requirements) Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Valid Driver’s License (if out of state hire, the record report from applicable state driver’s license department is required) Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Independence Health System

CASE MANAGER - RN

The Case Manager, RN provides comprehensive care coordination of services as a member of the interdisciplinary care team and provides discharge planning for a designated patient population. Consistently exercises discretion and judgment to assess, analyze, interpret and implement interventions to facilitate transitions of care. Position will assess, coordinate, facilitate and negotiate services and resources for a designated patient population in order to achieve desired clinical and financial outcomes as directed by Independence Health Systems. Works in collaboration with the patient's healthcare team to move the patient through the continuum of care. Essential Job Functions Maintains professional and technical knowledge by attending education workshops; reviewing professional publications; establishing personal networks; participating in professional societies. Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Documents patient care services by charting in patient and department records. Maintains continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintains patient confidence and protects operations by keeping information confidential. Implements standard work, clinical protocols and patient care pathways. Ensures safe and effective transitions of care that help to promote positive health care outcomes for Independence Health System patients. Assesses, plans, implements coordinates, and monitors and evaluates options for patients, their families, caregivers and the health care team, including providers, to promote effective care coordination outcomes. Manages transitions of care effectively as one of the critical components to reducing readmissions and poor health outcomes. Provides crisis management for clients; makes linkages for interventions as appropriate. Initiates care coordination strategies that are evidence-based and outcome focused. Implements standard work, clinical protocols and patient care pathways. Identifies patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promotes patient's independence by establishing patient care goals; teaching patient/family to understand condition, medications, and self-care skills; answering questions. Maintains safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Demonstrates competencies of clinical reasoning and critical-thinking skills for managing complex and high-risk patients while simultaneously assuming the patient advocate role to ensure conflict-free, unbiased and culturally competent care. Assures care coordination that takes into account patients' values, needs, preferences and their choice to self-direct care. Puts the patient at the center of all care decisions and is an essential driver to ensuring that patients get the right care, in the right setting, at the right time. Effectively manages transitions involving comprehensive planning, targeted outreach and the timely transfer of information between parties critical to the transition. Manages transitions of care effectively as one of the critical components to reducing re-admissions and poor health outcomes. Facilitates the flow of care to expedite appropriate discharge and prevent readmissions. Assumes the leadership role in achieving outcomes and making the health system work for the patient. Brings access, understanding and knowledge of the community and the resources to support management of chronic illness. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team continuous quality improvement and problem-solving methods. Contributes to team effort by accomplishing related results as needed. Implements effective care coordination strategies that are evidence-based and outcome focused. Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. Other duties as assigned. Specialty Essential Functions Discharge Planning Assesses, plans, implements, coordinates, monitors and evaluates options for patients, their families, caregivers, and the health care team, including providers, to promote effective care coordination outcomes. Coordinates alternate levels of care based on the patient's current needs and availability of healthcare resources. Creatively resolves complicated disposition issues, utilizing community resources with the integration of the patient's available benefits to achieve a positive outcome. Provides information for appropriate referrals to patients and their families, and provides counseling, if needed, on a limited basis. Maintains patient rights by adhering to HIPAA, Freedom of Choice, Rights of Reconsideration, QIO, and other regulatory agency requirements. Facilitates the flow of care to expedite appropriate discharge and prevent readmission. Involves patients and families in goal setting and evaluation health care system. Ensures safe and effective transitions of care across settings for patients. Case Manager works in collaboration with the Denial Management Specialist: Facilitates appeals/grievances for concurrent and retrospective appeals. Assists with maintaining databases that reflect the appeal/grievance component of the utilization process. Consults with Denial Management Specialist, department Manager and Physician Advisor or designee to resolve issues regarding adverse determinations and denials. Assists the Denial Management Specialist in designated facets for the appeal/grievance process, including medical record review for medical necessity, conferring with Physician Advisor or designee, formulating correspondence, and maintaining accurate files. Provides timely correspondence to meet requirements of all payors, as it relates to the appeal process. Collaborates with Patient Accounting Department and other ancillary departments for resolution of payor reimbursement issues in a timely manner. Responsible for data collection related to status of denials/delays. Case Manager works in collaboration with Utilization Review Completes initial utilization review for medical necessity for an assigned patient population. Initiates assessment within 24 hours of admission or next business day. Applies Intergual criteria for severity of illness/intensity of service indicators. Makes referral to PA/VPMA or designee for second level review in cases not meeting initial medical necessity criteria screens. Recognizes and progresses the plan of care when an alternative level of care is appropriate. Conducts continued stay reviews by monitoring patient’s response to treatment and resource utilization. Collaborates with Attending Physician and healthcare team to facilitate the progression of the plan of care. Completes initial and continued stay reviews in a timely manner, in accordance with various payor contracts and guidelines. Cognizant of payor requirements for all patients in assigned caseload. Responsible for understanding and communicating plan benefit limits/availability to patient or their representative in management of case as necessary. Responsible for accurate and timely documentation in recognized data bases to support Clinical Resource Management components for each patient in assigned caseload. Identifies, track and trends Avoidable/Delay Days in Midas System. Monitors length of stay and ancillary resources use on assigned patient caseload. Required Qualifications Graduate of an accredited Nursing Program. Three (3) years of clinical experience in healthcare or recent case management experience. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Proficient documentation skills. Knowledge of Payor/Insurance benefits. Functional skills on PC and related software (Microsoft Office). Excellent negotiation skills. Strong analytical, data management, and PC skills. Current working knowledge of utilization management, case management, and discharge planning. Current working knowledge of community resources, post-acute services. Preferred Qualifications Recent Acute Care experience. Bachelor’s Degree in Nursing. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance with renewal Case Management Certification preferred. Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces X x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x Operates Vehicle (company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x x Overtime(+8/hrs/shift; 40/hr/wk) x x Travel Between Sites x x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x x Hearing Protection X Hand Protection x x Feet, Toe Protection x x Body Protection x x Latex Exposure x x Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure X Mist Exposure X Wax Stripper (direct use) x x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(25lbs.of force) x x Carry x x Transfer/Push/Pull Patients x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle ### 10-19 20>50 Lifting Seat Pan to Knuckle ### 10>50 Lifting Knuckle to Shoulder ### 10>50 Lifting Shoulder to Overhead ### 10>50 When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.