RN Professional Development Specialist - Care Management

Highmark Inc

Pittsburgh, PA

JOB DETAILS
SKILLS
Adult Learning, Certified Case Manager (CCM), Communication Skills, Computer Security, Consulting, Corporate Policies, English Language, Facebook, Federal Bureau of Investigation (FBI), Federal Laws and Regulations, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Hospital, Information/Data Security (InfoSec), Internet Security, Leadership, Legal Standards, LinkedIn, Needs Assessment, Nursing, Onboarding, Presentation/Verbal Skills, Project/Program Coordination, Quality Assurance, Quality Management, Registered Nurse (RN), Regulations, Regulatory Compliance, Sales, Security Policy, Social Work, State Laws and Regulations, Training/Teaching Curriculum, Validation Documentation, Willing to Travel, Writing Skills, YouTube
LOCATION
Pittsburgh, PA
POSTED
2 days ago

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RN Professional Development Specialist - Care Management

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RN Professional Development Specialist - Care Management

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Pittsburgh PA, FAP, 5th Avenue Place

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

Responsible for leading professional development for Care Management services across assigned areas of the health system. This role designs and evaluates onboarding, annual education, continuing education, and competency validation to support safe, compliant, and effective Care Management practice. The position partners with leaders and interdisciplinary teams to advance transitions of care, care coordination, and practice excellence. Travel to multiple hospital sites and care settings is required to support education, onboarding, and competency activities.

ESSENTIAL RESPONSIBILITIES

  • Collaborates with Care Management leadership and interdisciplinary teams to support orientation, ongoing education, quality improvement initiatives, and practice excellence related to transitions of care and care coordination. (50%)

  • Plans, develops, implements, and evaluates Care Management-focused educational and professional development programs, utilizing appropriate methods, measurements, and tools to assess achievement of learning and competency outcomes. (20%)

  • Serves as an educational consultant to leadership and staff in areas of Care Management practice, regulatory and accreditation requirements, professional development, program development, and assigned committee work. (15%)

  • Coordinates, implements, and maintains Care Management onboarding programs, including role-specific orientation, annual education requirements, and continuing education initiatives. (10%)

  • Conducts formal and informal learning needs assessments and develops, implements, and oversees the annual Care Management competency and education program, including competency validation and documentation in collaboration with leadership. (5%)

  • Other duties as assigned or requested.

QUALIFICATIONS:

Required

  • Master's degree in Social Work, Nursing, Education or relevant experience and/or education as determined by the company in lieu of Master"s degree.

  • 2 years of experience in Hospital-based Care Management clinical

  • 2 years of experience in Education and training

  • Current State of PA RN or PA SW licensure or current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)

  • Certification in Case Management (CCM, ACM, or equivalent) within 3 years of hire.

  • CPR certification

  • Act 34 Criminal Background Clearance Certificate

  • Act 33 Child Abuse Clearance Certificate

  • Act 73 FBI Fingerprinting Criminal Background Clearance Certificate

Preferred

  • None

SKILLS:

  • Knowledge of hospital-based Care Management practice

  • Adult learning and curriculum development skills

  • Competency assessment and validation skills

  • Knowledge of regulatory and accreditation requirements

  • Orientation and onboarding program development

  • Continuing education program coordination

  • Collaboration with leadership and interdisciplinary teams

  • Quality improvement and practice excellence support

  • Strong written and verbal communication skills

  • Ability to travel to multiple hospital sites and care settings

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.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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Job Details

  • Job category
  • Position Type Full Time
  • Posted 07/10/2026
  • Location(s) Pittsburgh PA, FAP, 5th Avenue Place
  • Line of Business
  • Entity
  • Recruiter
  • Hiring Manager
  • Experience Level
  • Job Family Nursing
  • Req ID J284270

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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 any category protected by applicable federal, state, or local law.

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.

2026 Highmark Health. All Rights Reserved.

About the Company

H

Highmark Inc

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.

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Healthcare Services
FOUNDED
1996
WEBSITE
https://www.highmark.com/hmk2/index.shtml