Job Title: RN - Registered Nurse Case Manager - Care Coordination
Location: Bellefonte, Pennsylvania
Job Category: RN - Registered Nurse, Nursing and Nursing Support, Geisinger Health Plan
Schedule: Days
Work Type: Full time
Department: GHP Case Management Team
Date Posted: 09/13/2024
Job ID: R-67210
Job Summary: Assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes.
Job Duties:
- Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare for the identified population.
- Develops systems of care that monitor progress and promote early intervention in acute care situations.
- Assists with the design, implementation, and evaluation of the advanced patient centered care model.
- Assesses the healthcare, educational and psychosocial needs of patients or members.
- Designs an individualized plan of care and fosters a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the health care team to ensure coordination of services.
- Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population.
- Works to appropriately apply benefits and utilization management serving as a resource to the patient or member and healthcare team.
- Maintains required documentation for all case management activities.
- Collects required data and utilizes this data to adjust the treatment plan when indicated.
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Position Details: As a RN Case Manager you will directly impact your patient's life by connecting them to community resources to reduce hospital admissions and ER visits. Through collaboration with the patient, their family, providers, etc., you will develop a plan of care that will provide your patient with the level of care needed to live safely and healthy in their home.
- Hours: 8 am to 4:30 pm
- Travel: less than 25%- may travel for orientation and meetings
- On-Call: Limited. Will be reviewed during an interview
- Required experience: 3 years of RN work experience
- Required Certification: CCM certification is required in 3 years. Geisinger will assist with this.
Benefits of working at Geisinger:
- Full benefits (health, dental and vision) starting on day one
- Three medical plan choices, including an expanded network for out-of-area employees and dependents
- Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)
- Company-paid life insurance, short-term disability, and long-term disability coverage
- 401(k) plan that includes automatic Geisinger contributions
- Generous paid time off (PTO) plan that allows you to accrue time quickly
- Up to $5,000 in tuition reimbursement per calendar year
- MyHealth Rewards wellness program to improve your health while earning a financial incentive
- Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free membership with discounted backup care for your loved ones
- Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.
- Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance
Education: Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred)
Experience: Minimum of 3 years-Nursing (Required)
Certification(s) and License(s): Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania
Our Purpose & Values: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
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