RN Nurse Navigator - Care Connect

Company :

Allegheny Health Network

Preferred Candidates will live within the Pittsburgh or Erie region.

This job consists of working in high-volume, fast paced call center environment in which nurse assistsall callers- such as referring physicians, patients, caregivers, families, and the community with coordination of patient services through clinical triage and scheduling. Facilitates patient flow, including coordination of appointments and assists the patient with accessing clinical and supportive care services within the Network. This job coordinates focused aspects of care in collaboration with the multidisciplinary team for adult/Pediatric patients to ensure they receive quality and comprehensive services.

Identifies caller needs and provides education, screening, support, referrals, coordination of care, and any other assistance identified as necessary.

• Serves as preliminary contact for AHN patients by greeting patients via telephone in a pleasant and professional manner, prioritizing patient inquiries, ensuring that accurate demographic and payor information is correctly reflected in the billing system, maintaining a positive customer service attitude when dealing with the public and AHN personnel, and working effectively as a team member by offering support and ideas to enable the group to reach group goals (25%).
• In a call center setting, provides professional nursing assessments, prioritizes treatments according to the urgency of need, and collaborates with other departments to appropriately coordinate patient services (20%).
• Assist non‑clinical staff with clinical issues and questions (20%).
• Coordinates appointments including aspects of the multidisciplinary team (physicians, consults, supportive care services, etc.) (10%).
• Works with AHN physician offices/facilities to identify at‑risk patients and assists in facilitating appropriate screening processes (10%).
• Work inbound or outbound call projects as assigned (10%).
• Performs other duties as assigned or required (5%).

• High School / GED
• 1 year of Nursing in the specialty
• Act 34 Criminal Background Clearance Certificate
• Act 33 Child Abuse Clearance Certificate
• Act 73 FBI Fingerprinting Criminal Background Clearance Certificate
• Current State of PA RN licensure OR Current multi‑state licensure through the enhanced Nurse Licensure Compact (eNLC).
• CPR certification

• Bachelor's Degree in Nursing
• 1 year in an Emergency Room/ICU role
• 1 year with adult medicine/surgery
• 1 year in call center or tele‑health setting
• Certification in area of expertise
• Valid PA driver's license may be required
• Older Adults Protective Services Act (OAPSA) clearance may be required depending on location

$34.29

$54.25

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.