RN - Registered Nurse Care Manager - Geisinger At Home - Community Based

Location:

Geisinger Health Plan Hughes Center

Shift:

Days (United States of America)

Scheduled Weekly Hours:

40

Worker Type:

Regular

Exemption Status:

No

Job Summary:

In this role you'll support home visits to patients in Snyder and Union Counties. As one of the Top 8 Most Innovative Healthcare Systems in Becker’s Hospital Review, we’re working to create a national model for improving health. Today, we’re focused on bringing our region services that improve every facet of life to drive total health, inside and out.

Job Duties:

The RN Care Manager in Geisinger at Home works in conjunction with physicians, nurses, inter disciplinary team and others to assess, plan and initiate patient plan of care.

• Typical hours: 4 Shifts: 8 AM to 4:30 PM. 1 Shift: 10 AM - 6:30 PM
• Rotation of Weekends & Holidays. Will be fully reviewed at interview.
• This role is to support home visits to patients in Snyder and Union Counties.
• Snyder and Union Counties will be your primary territory but may need to cover other areas as needed.
• Prior nursing experience in an Emergency Department, ICU or Home Health environment is preferred but not required

A minimum of three (3) years of RN work experience is required.

• Facilitates and coordinates details of the actual discharge to appropriate agencies.
• Facilitates and coordinates an individualized care coordination plan.
• Serves as a resource to physician and hospital personnel regarding available agency, facility, and community services to assist in discharge planning.
• Ensures adherence to quality standards and participation in quality monitoring and improvement by monitoring quality of care using predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate departments through defined processes, and enters data as requested and appropriate for role, to support quality improvement initiatives into appropriate system.
• Conducts on-going case review for delays or variances in care; raises issues with appropriate department, attending physician and physician designee.
• Actively involves payer liaison role in any case that has potential of not meeting medical necessity guidelines.
• Supports payer liaison role to resolve barriers through appropriate administrative and medical channels to avoid third party payer denials.
• Works with payer liaison to facilitate timely discharge or alternative plan of care acceptable to physician, family and payer.

Geisinger cares about not only its patients and members but also about you and your family. We offer a competitive compensation and benefits package to ensure that you and your loved ones can maintain good health, achieve financial stability, and excel both personally and professionally. We believe in creating a diverse and inclusive environment where all employees can be their authentic selves. To learn more: https://jobs.geisinger.org/diversity 

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 Care.com 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  

Position Details:

Work is typically performed in a clinical and office environment. Accountable for satisfying all job specific obligations and complying with all organization pol