RN - Registered Nurse Care Manager - Community Based

Geisinger; Pennsylvania; On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Health, dental, vision on day one

Tuition reimbursement

PTO generous

Employer life & disability insurance

401(k) plan

MyHealth Rewards

Family-friendly support

Job summary

Geisinger at Home is seeking a Community-Based RN Care Manager to advocate for patients navigating healthcare needs. You will develop personalized care plans, coordinate resources, and guide patients through their healthcare journey with a multidisciplinary team.

The role emphasizes home-based patient visits in Mifflin County, PA, with a typical Monday–Friday schedule and occasional late shifts. Strong RN experience and coordination skills are essential to improve outcomes and discharge planning.

Qualifications

• RN with at least 3 years of experience.
• Experience in ED, ICU, or case management is preferred.

Responsibilities

• Develop personalized care plans for assigned patients.
• Coordinate resources and coordinate care across physicians, caregivers and multidisciplinary teams.
• Guide patients through their healthcare journey from admission to discharge.
• Monitor progress and adjust plans to achieve desired outcomes.
• Identify and resolve barriers to timely discharge and care coordination.

Skills

RN experience

ED/ICU/Case Mgmt

Job description

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.

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.