RN - Registered Nurse - Care Manager

Job Summary 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. Job Duties The successful candidate for this role will work on-site at Geisinger Community Medical Center (GCMC), providing direct support to inpatient departments. A typical workweek is Monday through Friday, days. At least three (3) years of prior RN experience is required. The ideal candidate will have prior RN experience in a hospital setting. Case Management experience is preferred and not required. The successful candidate must be available to work on-site at GCMC. Union: Yes Benefits of working in Care Management Strong team culture Consistent scheduling Meaningful mission-driven work 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 Works with physician and multidisciplinary team members to develop plan of care for each assigned patient from admission through discharge. Ensure patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and evaluations. Assess and respond to patient andfamily needs by coordinating efforts of other team members. Identifies and resolves barriers that hinder effective patient care. Works in conjunction with physicians, nurses, inter disciplinary team and others to assess, plan and initiate patient plan of care. 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. Completes appropriate federal, state and local forms. 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. Captures data per department policy. Communicates to appropriate physicianidentified issues for resolution and intervention. Uses approved medical necessity criteria as a tool to ensure that patients meet appropriateness of the setting. 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. Maintains awareness of all concurrent denials through interaction with payer liaison. Works with payer liaison to facilitate timely discharge or alternative plan of care acceptable to physician, family and payer. 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. Education Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred) About Geisinger 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.