RN Case Manager - Care Coordination Integration - GHP

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Job description

Job Title: RN Case Manager - Care Coordination Integration - GHP
Location: Wilkes-Barre, Pennsylvania
Job Category: RN - Registered Nurse, Nursing and Nursing Support
Schedule: Days
Work Type: Full time
Department: GHP Case Management Team
Date Posted: 11/02/2021
Job ID: R-22308
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. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

Position Details

Join the Geisinger Family a RN Case Manager for our Geisinger Health Plan. 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.

Our ideal candidate will have at least 3 years of RN experience. Prior Acute Care, Home Health or Case Management experience is helpful.

Work Schedule/Details:

• Monday through Friday from 8A to 4:30P
• Occasional travel and on call needed

We?re proud to offer competitive salaries and a comprehensive benefits package that includes:

• Medical, prescription drug, vision and dental coverage
• Family Support (Fertility and Adoption Support)
• Employer contribution to your retirement plan
• Tuition assistance (part time and full time roles only)
• Generous paid time off packages that allows you to take the time you need to travel, rest, and care for and reconnect with friends and family.
• Professional opportunities for growth and advancement
• Support and mentorship from a full range of dedicated and experienced nursing leaders
• Paid Military Leave
• Community Involvement through our Employee Resources Groups

Education Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Business Administration/Management (Preferred)
Experience Minimum of 3 years-Related work experience (Required)
Certification(s) and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania
Our Purpose & Values 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 are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

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