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Wilkes-Barre

    Case Manager Registered Nurse - Wilkes Barre, United States - Geisinger

    Geisinger
    Geisinger Wilkes Barre, United States

    1 week ago

    Default job background
    Upper Management / Consulting
    Description
    Job Title: Case Manager Registered Nurse (RN) - Special Needs Unit and Community Services
    Location: Wilkes-Barre, Pennsylvania
    Job Category: RN - Registered Nurse, Nursing and Nursing Support, Geisinger Health Plan
    Schedule: Days
    Work Type: Full time
    Department: GHP RN Case Management Team
    Date Posted: 05/20/2024
    Job ID: R-60181

    Job Summary

    The Special Needs Unit RN Case Manager at Geisinger Health Plan assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes.

    Job Duties

    • Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare for the identified population.
    • Develops systems of care that monitor progress and promote early intervention in acute care situations.
    • Assists with the design, implementation, and evaluation of the advanced patient centered care model.
    • Assesses the healthcare, educational and psychosocial needs of patients or members.
    • Designs an individualized plan of care and fosters a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the health care team to ensure coordination of services.
    • Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population.
    • Works to appropriately apply benefits and utilization management serving as a resource to the patient or member and healthcare team.
    • Maintains required documentation for all case management activities.
    • Collects required data and utilizes this data to adjust the treatment plan when indicated.


    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. 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

    This is an embedded clinic position and will be based in Luzerne County, PA. The Geisinger Health Plan Special Needs Unit supports pediatric patients and their families by providing care planning for complex healthcare-related matters and conditions. Our special needs team works with hospitals, specialists, pharmacists, and other health providers to provide the best care possible.

    • Hours: 8 AM to 4:30 PM
    • Travel: Travel to perform home visits and hospital visits is required and will be reviewed during an interview. Limited travel for meetings and educational training.
    • Required experience: 3 years of RN work experience
    • Preferred experience: Pediatric experience strongly preferred.
    • On-call: Limited. Will be reviewed during an interview.
    • Department: Geisinger Health Plan

    Geisinger values its employees and their families by offering a comprehensive compensation and benefits package that aims to support their well-being, financial security, and personal and professional growth. Geisinger promotes diversity and inclusivity in the workplace to ensure all employees can thrive in an authentic environment.

    Our benefits package includes:

    • 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 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

    Education

    Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred)

    Experience

    Minimum of 3 years-Nursing (Required)

    Certification(s) and License(s)

    Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania

    Our Purpose & Values

    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.

    By applying, you consent to your information being transmitted by beBee to the Employer, as data controller, through the Employer's data processor SonicJobs.


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