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Advanced Practice Provider - Pittsburgh East area

Highmark Inc
  • Pittsburgh, PA
  • Autofill and Review
3 days ago
Highmark Inc

Job Description

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Advanced Practice Provider - Pittsburgh East area

Work At Home - Pennsylvania, Home PA 90001, United States

Full time

Apply Now

Job DescriptionWorking with UsBenefits & PerksHear From Our TeamHow We Hire

Job Details

Category Clinical Services

Type Full time

Location(s) Work At Home - Pennsylvania, Home PA 90001, United States

Brand Endorsed

Posted 11/10/2026

Req ID J287744

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Job Description

Company :

Endorsed

Job Description :

JOB SUMMARY

This role is integral to the organization"s comprehensive care delivery system. The incumbent delivers high-quality, patient-centered care through in-home, virtual, and telephonic comprehensive clinical assessments for members with chronic health conditions. This autonomous position provides holistic, community-based care, especially for geriatric and palliative populations. The role proactively manages symptoms, guides advance care planning, and supports members with chronic or life-limiting illnesses to ensure optimal quality of life and health outcomes. The role involves accurately identifying and documenting all active chronic medical conditions essential for risk adjustment.

ESSENTIAL RESPONSIBILITIES

  • Comprehensive Clinical Assessments: Conduct comprehensive in-home, video, and telephonic clinical assessments, including detailed histories, physical examinations, and identification of all active diagnoses, symptoms, functional status, and social determinants of health.

  • Diagnostic Interpretation & Treatment Planning: Order and interpret laboratory, radiological, and other diagnostic studies, then make medical diagnoses and institute appropriate therapy within applicable scope and standards of practice.

  • Palliative Care & Symptom Management: Manage medications and treatments related to palliative care, alleviating pain and other distressing symptoms related to life-limiting illnesses.

  • Patient & Family Guidance: Provide emotional and psychological support, and educate patients and families about illness progression, treatment options, and aligning to goals of care.

  • Advance Care Planning: Facilitate advance care planning conversations and end-of-life discussions.

  • Collaborative Care Coordination: Collaborate and coordinate care with other providers active on the patient"s care team and participate in interdisciplinary team meetings to review and update patient care plans.

  • Emergency Intervention: Institute emergency measures or appropriate stabilization for acute patient situations.

  • EMR & Risk Adjustment Documentation: Utilize electronic medical record (EMR) systems for thorough and compliant clinical documentation, ensuring timely and accurate record of pertinent information to support comprehensive medical coding and risk adjustment methodologies.

  • Reporting & Communication: Identify and inform the attending physician of record of all significant changes to the patient"s ongoing condition in a timely manner.

  • Professional Development & Compliance: Maintain mandatory professional continuing education and uphold professional practice consistent with organizational statements and medical staff compliance.

  • Other duties as assigned or requested.

EDUCATION

Required

  • Graduate from an accredited PA program OR Graduate from a Nursing Approved Master's or Post Master's program

Substitutions

  • None

Preferred

  • Board certification or clinical experience in a relevant specialty (e.g., Family Medicine, Internal Medicine, Geriatrics, Hospice or Palliative Care).

EXPERIENCE

Required

  • 3 years of clinical experience as an NP or PA, preferably in primary care, geriatrics, palliative or hospice care, chronic disease management, home health, or a similar community-based setting.

Preferred

  • Previous experience conducting in-home assessments or house calls.

  • Knowledge of CMS regulations and guidelines.

  • Experience in population health management.

LICENSES or CERTIFICATIONS

Required

  • Current Physician Assistant License OR Current State of PA RN licensure or Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) + CRNP license and Prescriptive Authority in the State of PA.

Preferred

  • DEA controlled substances license

SKILLS

  • Patient & Family Engagement: Exceptional communication, motivational interviewing and empathy skills for patient-centered care, sensitive health discussions, and effective education for diverse patient populations.

  • Clinical Acumen & Care Planning: Expertise in critical clinical assessment and the ability to identify and address patient care gaps, opportunities for health improvement and formulate care plans including advance care planning.

  • Interpersonal & Team Collaboration: Exceptional interpersonal and communication skills to build rapport and effectively collaborate with internal and external care teams.

  • Autonomous Work & Caseload Management: Demonstrated ability to work autonomously and manage an effective caseload in a community-based or home care setting.

  • Organizational & Time Management: Excellent organizational and time management skills to efficiently conduct multiple visits daily and complete documentation.

  • Problem-Solving & Adaptability: Strong problem-solving skills and the ability to adapt to unexpected situations in the field.

  • Technological Fluency: Proficient with EMR systems, portable diagnostic equipment, mobile technology, and standard computer applications including Microsoft Office products.

  • Continuous Learning: Commitment to continuous learning and professional development, particularly in palliative care, geriatrics, risk adjustment, and clinical guidelines.

  • Risk Adjustment & Documentation Acumen: Strong knowledge of risk adjustment methodologies and coding principles, coupled with the ability to ensure documentation integrity for compliant medical coding.

  • High-Performing Team Integration: Ability to work effectively in a flexible, high-performing team environment.

Language (Other than English):

None

Travel Requirement:

50% - 75%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Never

Exposure to Blood, body fluids or tissue

Occasionally

Exposure to needles or sharps

Occasionally

Additional Employment Requirements:

  • Valid driver"s license and reliable transportation with appropriate insurance coverage to travel to patient homes across designated service areas.

  • CPR Certification

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.

Pay Range Minimum:

$102,700.00

Pay Range Maximum:

$164,600.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

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

Benefits & Perks

Taking Care of You

Your Benefits at a Glance

  • Health: Complete medical, dental, vision, prescription, HSA, and FSA coverage.
  • Time Off: Paid vacation, holidays, and dedicated volunteer time.
  • Finance: Employer-sponsored 401(k), life/disability insurance, and tuition reimbursement.
  • Perks: Exclusive team discounts on shopping, memberships, and events.

Medical Coverage

Medical, prescription drug, dental, and vision coverage

Paid Time Off

Vacation, holidays, volunteering

Retirement Package

Employer-sponsored 401(k) plan

Insurance & Coverage

Life, AD&D and disability insurance

Onsite & Preventative Care

We make staying healthy easy with 100% covered preventative exams (including flu shots) and onsite pharmacy services at major campuses. Plus, stay active with free fitness center access at major Highmark campuses, Allegheny General, and West Penn Hospital.

Make Mindful Changes

Secure bicycle parking at major campuses. Healthy food options at onsite cafeterias. Stress management classes including yoga, mindfulness, and meditation.

Holistic Support, 24/7

Work-life resources including assistance programs and financial counseling services. 24/7 telephone access to health and wellness coaching.

Get Rewarded for Giving Back

Health incentive program that rewards team members. Team member networks to gather in the name of health. Paid volunteer time and incentives for making a difference.

Hear from Our Team

Real people, real stories

"I have met some really great people over the years at Highmark Health and the company has treated me really well. I get really good benefits. I"ve always been rewarded for working hard. That"s what keeps me here."

Victoria T.

Associate Strategy Analyst, enGen

"I love participating with the PRIDE BRG. It"s an engaged, dynamic group of almost 400 people. I also love to turn on the digital hub on my computer and see what"s going on with any of the Business Resource Groups. It"s really neat to be able to support other BRGs and see others support PRIDE. Every time I go to a different BRG event, I always feel welcome, even if I"m not part of that group."

Amanda M.

Director of Social Determinants of Health | Vice Chair of PRIDE

Our Hiring Process: Step-by-Step

  1. Apply

Find a role that sparks your passion and submit your application! We'll send an immediate confirmation email, and our team will review your qualifications over the next 1-2 weeks.

  1. Interview

If your profile is a great match, we'll reach out to schedule your interview-whether by phone, video, or in person. Don"t worry, we'll provide all the prep details in advance so you can shine.

  1. Job Offer

The moment you've been waiting for! If selected, we'll connect to celebrate and walk you through the details: compensation, benefits, paid time off, and all the perks of joining the team.

  1. Pre-Employment

After you accept online, we'll guide you through standard screening (including a background check and drug screen, plus health screenings for certain clinical roles). Once cleared, we"ll officially confirm your start date!

  1. Onboarding

Welcome aboard! Before Day 1, we'll send everything you need to hit the ground running-including your schedule, location, and the required identification documents to bring with you.

Bonus Fast-Track Tip

Applying for EVS, Dietary, or Customer Service roles? You can skip the traditional line and chat with Bridget, our AI recruiting assistant, to find open roles and schedule an eligible interview instantly.

Apply Now

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Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

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 their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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 HRServices@highmarkhealth.org

Highmark Health. All Rights Reserved.

Numbers & Facts

LocationPittsburgh, PA
IndustryHealthcare Services
Company Size1,000 to 1,499 employees
Year Founded1996
Websitehttps://www.highmark.com/hmk2/index.shtml

About Company

Highmark provides millions of people with the security of quality health insurance

Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.

Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.

Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

Skills

  • Background Investigationunmatched
  • CPR Certificationunmatched
  • Case Managementunmatched
  • Chronic Diseaseunmatched
  • Clinical Assessmentunmatched
  • Clinical Medicineunmatched
  • Clinical Practices/Protocolsunmatched
  • Clinical Study Publicationsunmatched
  • Coachingunmatched
  • Communication Skillsunmatched
  • Computer Securityunmatched
  • Content Management Systems (CMS)unmatched
  • Corporate Policiesunmatched
  • Customer Support/Serviceunmatched
  • Disease Prevention and Controlunmatched
  • Documentationunmatched
  • Driver's Licenseunmatched
  • Electronic Medical Recordsunmatched
  • English Languageunmatched
  • Family Medicineunmatched
  • Federal Laws and Regulationsunmatched
  • Financial Servicesunmatched
  • Fitnessunmatched
  • Flexible Spending Accountsunmatched
  • Geriatricsunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Insuranceunmatched
  • Health Planunmatched
  • Home Careunmatched
  • Hospice Careunmatched
  • Hospitalunmatched
  • Identify Issuesunmatched
  • Incentive Programsunmatched
  • Information/Data Security (InfoSec)unmatched
  • Insuranceunmatched
  • Internal Medicineunmatched
  • Internet Securityunmatched
  • Interpersonal Skillsunmatched
  • Interviewing Skillsunmatched
  • Legal Standardsunmatched
  • LinkedInunmatched
  • Maintain Complianceunmatched
  • Medical Codingunmatched
  • Medical Conditionsunmatched
  • Medical Diagnosisunmatched
  • Medical Office Administrationunmatched
  • Medicationsunmatched
  • Nursing Credentialsunmatched
  • On Site Supportunmatched
  • Organizational Skillsunmatched
  • Palliative Careunmatched
  • Patient Careunmatched
  • Patient Educationunmatched
  • Pharmacyunmatched
  • Physician Assistantunmatched
  • Prescription Drugsunmatched
  • Primary Careunmatched
  • Problem Solving Skillsunmatched
  • Quality of Careunmatched
  • Registered Nurse (RN)unmatched
  • Regulationsunmatched
  • Regulatory Complianceunmatched
  • Riskunmatched
  • Salesunmatched
  • Security Policyunmatched
  • State Laws and Regulationsunmatched
  • Strategic Analysisunmatched
  • Team Playerunmatched
  • Time Managementunmatched
  • Treatment Evaluationunmatched
  • United States Drug Enforcement Agency (DEA)unmatched
  • Willing to Travelunmatched
  • Work From Homeunmatched

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