RN Care Manager - Geisinger at Home (Company Car)

Company: Geisinger
Location: Lewistown
Posted on: September 15, 2023

Job Description:

Job Title: RN Care Manager - Geisinger at Home (Company Car)
Location: Lewistown, Pennsylvania
Job Category: RN - Registered Nurse, Nursing and Nursing Support
Schedule: Rotation
Work Type: Full time
Department: Geisinger at Home Care Management Division
Date Posted: 07/27/2023
Job ID: R-50280
Job SummaryWorks 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.
Job Duties

• 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.
  Position Details
  • Hours: -Typical hours are 8:30am to 5:00pm with 1 shift a week from 10:00am to 6:30pm
  • On Call: -Rotation based. Approximately every 6 weeks you'll have a weekend on-call. 1 holiday on call per year. Will be fully reviewed at interview.
  • Travel: -This position is community-based and requires travel between patient's homes. Company Car with gas card provided. Primary locations will be within Mifflin and Juniata counties.
  • Preferred Experience: -Prior ED, ICU or Home Health Experience is preferred but not required.
  • To learn more about Geisinger at Home, please visit: - -**********************************************************************************************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.Our benefits package includes:
    • Comprehensive health insurance coverage starting on your first day of employment with three medical plan options, including flexible spending account (FSA) and health savings account (HSA) options
    • Life insurance, short-term disability, and long-term disability coverage paid for by the company
    • A competitive 401(k) plan with automatic Geisinger contributions beginning on your first day of employment
    • A generous paid time off (PTO) plan that allows you to accrue time quickly
    • Access to the MyHealth Rewards wellness program, which helps you improve your health and earn incentives
    • Support for families, including adoption assistance, paid parental leave, paid military leave, and a free care.com membership with discounted backup care for your loved ones
    • We believe in creating a diverse and inclusive environment where all employees can be their authentic selves. That's why we offer several Employee Resource Groups (ERGs), which provide opportunities for you to network and develop professionally. Our ERGs are open to all employees and are formed around common identities.To learn more about our benefit offerings, please visit:
      EducationGraduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Healthcare Related Degree (Preferred)
      ExperienceMinimum 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 & ValuesOUR 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.

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