Date Posted: 03/06/2026
Location: Allegheny General Hospital
Department: Case Management
Status: Full Time
Shift: 80 hours every two weeks
Daylight M-F, 40 hours per week
Union: No
CASE MANAGEMENT:
The Case Management Department at Allegheny General Hospital assists patients and their support systems in managing medical conditions effectively. Our team of talented Case Managers aims to individualize health care to meet each patient's specific needs with a patient-centric and outcome-driven focus.
ALLEGHENY GENERAL HOSPITAL:
AGH is a Level I Shock Trauma Center
5 state of the art ICU’s
State of the art Cancer Center
550+ Beds
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:
Incumbent provides oversite to daily operations. Attracts/hires talent and coordinates orientation/onboarding. Ensures team efficiency through scheduling, competency assessment (formal plan). Collaborates with team members on complex patients. Assures compliance with regulatory/policy/workflows through documentation review, observation and interaction. Embraces the core values and leads with integrity, determination and professionalism.
ESSENTIAL RESPONSIBILITIES:
Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
Serves as a change agent, mentor, and role model. Responsible for implementation of mission, vision, philosophy, core values, evidence based practice (EBP), and standards of the organization, and nursing service within their defined areas of responsibility.
Leads collaborative discussions resulting in the efficient transition of medically or socially complex patients
Engages with resources, develops action plans and provides communication to leaders and clinical partners regarding metrics: throughput, LOS and delays.
Mentors and engages with team members to assure effective care coordination and transition planning for patients and families. This includes but is not limited to:
Conduct assessment to determine patient/family and health care team treatment goals, and need for post-acute services based on payer coverage, community resources, and patient preferences, and barriers to discharge
Address psychosocial, clinical, and financial barriers to discharge as identified in assessment in conjunction with the patient/family and health care team
Arrange appropriate level of post-acute services according to patient's needs and preference and payer coverage in collaboration with the physician and health care team
Communicate with and update the patient/family, physician, and health care team regarding progress on the discharge plan
Arrange appropriate transportation to post-acute venues
Other duties as assigned.
QUALIFICATIONS:
Minimum
Master's degree in Nursing, Social Work or other related field (Education and experience will be considered in lieu of degree)
3 years in leadership role
3 years in Acute Health care setting
Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) OR Licensed Social Worker
CPR – American Heart Association
Act 34 Criminal Background Clearance Certificate
Act 33 Child Abuse Clearance Certificate
Act 73 FBI Fingerprinting Criminal Background Clearance Certificate
Certification in Case Management within 3 years of hire
Preferred
None
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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What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms. A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions. We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.
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