RN - Registered Nurse Case Manager - Care Coordination at Geisinger
Mount Carmel, PA 17851
About the Job
Location: Danville, Pennsylvania
Job Category: RN - Registered Nurse, Nursing and Nursing Support
Schedule: Days
Work Type: Full time
Department: GMC Inpatient Care Services Team
Date Posted: 04/05/2024
Job ID: R-60635
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
- Typical hours are M-F from 8a to 5p or 730a to 4p
- Rotation of weekends, holidays and on-call
- Holidays – approx. 1 a year
- Weekends - every 5 to 6 weeks
- On call: 5p to 8a. Rotates Monday through Thursday and Friday through Sunday separately. Once every 4 to 5 wks.
- Required Experience: 3 years of RN work experience
- Must attain ACM certification within 2 years – Geisinger will assist
Overview and highlights of Case Management with Care Coordination (hospital-based): Case Management is a collaborative practice including patients, caregivers, nurses, social workers, physicians, payers, support staff, other practitioners, and the community. RN Case Managers facilitate communication and care coordination along a continuum through effective transitional care management. They focus on the progression of care by completing daily medical reviews and screening patients in accordance with CMS conditions of participation. They help to manage hospital capacity and arrange post-acute services for patients upon discharge and while doing so support the patient’s right to self-determination, and recognize the significance of social determinants of health and complexities of care. The goals of Case Management include achievement of optimal health, access to services, and appropriate utilization of resources.
The RN Case Manager role allows nurses to use their critical thinking skills in a fast-paced environment where no two days are ever the same. It is a challenging, yet rewarding role that gives you the opportunity to positively affect the lives of patients and families. You will be able to maintain a good work-life balance and you will be surrounded by a supportive interdisciplinary team.
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