RN - Registered Nurse Care Manager - Community Based

Geisinger; Lewistown (MT); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Health insurance

Dental & Vision

401(k) with company contributions

PTO

Tuition reimbursement

Job summary

Geisinger at Home seeks an experienced Community-Based RN Care Manager to coordinate personalized care plans and resources for patients in the community. You will collaborate with physicians, caregivers, and a multidisciplinary team to guide patients through their healthcare journeys.

Requires 3+ years RN experience with ED/ICU or Case Management exposure; home visits in Mifflin County, PA; Monday–Friday schedule with occasional late days and rotating weekends/holidays.

Qualifications

• At least 3 years RN work experience required.
• Prior RN experience in ED, ICU or Case Management preferred.
• Community Based Nursing (Home Visits) in Mifflin County, PA.
• Schedule: Mon–Fri, 8:00 am–4:30 pm; one late day 10:00 am–6:30 pm.
• Rotating weekends and holidays.

Responsibilities

• Develop plan of care for each patient from admission to discharge.
• Monitor progress toward outcomes via assessments and evaluations.
• Coordinate efforts of physicians, nurses and interdisciplinary teams.
• Identify and resolve barriers hindering effective patient care.
• Facilitate discharge planning with physician and agencies.
• Document and act per department policies.

Skills

RN experience

ED/ICU/Case Management

Education

Specialty Training Program-Nursing (Required)

Job description

Location

Geisinger 65 Forward Reedsville & Geisinger Primary Care Reedsville

Shift

Days (United States of America)

Scheduled Weekly Hours

40

Worker Type

Regular

Exemption Status

No

Job Summary

Join a team dedicated to transforming lives by providing personalized care coordination for patients in our community. 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. Our Geisinger nurses make a difference in the lives of the people they see every day- our friends, neighbors, and family members.

Job Duties

As a Community-Based RN Care Manager with Geisinger at Home, you’ll serve as a trusted advocate for patients navigating healthcare needs. Working closely with physicians, caregivers, and interdisciplinary teams, you’ll develop personalized care plans, coordinate resources, and guide patients through their healthcare journey.

• At least three (3) years of RN work experience is required.
• The ideal candidate will have prior RN experience within an ED, ICU and/or Case Management.
• Community Based Nursing (Patient Home Visits) Mifflin County, PA
• A typical schedule is Monday through Friday, 8:00 am to 4:30 pm with one late day working 10 am to 6:30 pm.
• Rotating weekends and holidays

To learn more about Geisinger at Home: Geisinger at Home | Geisinger

Benefits 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) anda 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 and family 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 physician identified 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 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)

Experience

Minimum of 3 years-Nursing (Required)

Certification(s) and License(s)

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, we encourage an atmosphere of collaboration, cooperation and collegiality.

Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.