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

　　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.

　　Must attain ACM certification within 2 years – Geisinger will assist

　　Required experience: 3 years of RN work experience

　　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.

　　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

　　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)

　　Basic Life Support Certification - Default Issuing Body; 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.

　　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.