RN - Case Manager Registered Nurse - Care Coordination

Registered Nurse Case Manager

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. Through professional growth, quality improvement, and interdisciplinary collaboration, we've built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact. Join us as a Registered Nurse Case Manager to strengthen that impact.

Job Description

• This opportunity is a work from home, salaried, and full time. Hours are typically 8:00 a.m.- 4:30 p.m.
• At least three years of RN work experience required.
• Previous case management experience is preferred.
• The RN Case Manager 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.
• 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 healthcare 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.

Requirements

• Graduate from Specialty Training Program-Nursing (Required)
• Bachelor's Degree-Nursing (Preferred)
• At least three years of RN work experience required
• Previous case management experience is preferred

Benefits

• 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

Community Overview

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 of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.