Overview 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.
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 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.
Education
Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Healthcare Related Degree (Preferred)
Experience
Minimum of 3 years-Nursing (Required)
Certification(s) and License(s)
Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life Support Certification - Default Issuing Body
Our Purpose & Values : Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS, EXCELLENCE, LEARNING, INNOVATION, SAFETY. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. We value diversity and 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 protected veteran status.