RN - Registered Nurse - Case Manager
About The Position
Geisinger is hiring a Registered Nurse - Case Manager for its Care Coordination team at Geisinger Wyoming Valley (GWV). The role assesses, plans, implements, coordinates, monitors, and evaluates services and options to optimize patient or member health. It uses utilization and practice metrics, evidence-based clinical and preventive guidelines, protocols, and other measures to support patient-centered care and improve clinical, quality, and fiscal outcomes. The position also helps develop systems of care for monitoring progress and enabling early intervention, and supports the design, implementation, and evaluation of an advanced patient-centered care model. The case manager assesses patients’ or members’ healthcare, educational, and psychosocial needs; develops individualized care plans; and coordinates services collaboratively with patients or members, families, primary care providers, and other healthcare team members. The role monitors laboratory results, diagnostic tests, utilization patterns, and other measures; applies benefits and utilization management appropriately; maintains case management documentation; and uses collected data to adjust treatment plans as needed. Work is typically performed in a clinical environment. This is a full-time, exempt position with a typical Monday-through-Friday day schedule, a weekend rotation of about every third weekend, and an in-house holiday rotation. A minimum of three years of related RN work experience is required. Applicants must be a Pennsylvania-licensed Registered Nurse and graduate from a nursing specialty training program. A bachelor’s degree in nursing is preferred.
Requirements
- Graduate from a nursing specialty training program.
- At least three years of related RN work experience.
- Licensed Registered Nurse in Pennsylvania.
- Skills in computer literacy, critical thinking, and organizing.
Nice To Haves
- Bachelor’s degree in nursing.
Responsibilities
- Assess, plan, implement, coordinate, monitor, and evaluate options and services to optimize patient or member health status.
- Manage utilization and practice metrics to refine care delivery and maximize clinical, quality, and fiscal outcomes.
- Incorporate evidence-based clinical and preventive guidelines, protocols, and other metrics into patient-centered treatment plans.
- Develop systems of care to monitor progress and promote early intervention in acute care situations.
- Assist with the design, implementation, and evaluation of the advanced patient-centered care model.
- Assess healthcare, educational, and psychosocial needs and develop individualized plans of care.
- Coordinate services collaboratively with patients or members, families, primary care providers, and other healthcare team members.
- Monitor laboratory results, diagnostic tests, utilization patterns, and other metrics for quality and efficiency.
- Apply benefits and utilization management appropriately and serve as a resource to patients or members and the healthcare team.
- Maintain required documentation for case management activities.
- Collect required data and use it to adjust treatment plans when indicated.
Benefits
- Health, dental, and vision coverage starting on day one.
- Three medical plan choices, including an expanded network for out-of-area employees and dependents.
- Healthcare and dependent-care flexible spending accounts and a health savings account.
- Company-paid life insurance and short- and long-term disability coverage.
- 401(k) plan with automatic Geisinger contributions.
- Paid time off plan with accrual opportunities.
- Up to $5,000 in tuition reimbursement per calendar year.
- MyHealth Rewards wellness program with a financial incentive.
- Adoption and fertility assistance.
- Parental leave pay and military leave pay.
- Free Care.com membership with discounted backup care.
- Employee Assistance Program, including referrals for childcare, eldercare, and pet care; legal guidance; mental health visits; work-life support; and digital self-help tools.
- Voluntary benefits including accident, critical illness, hospital indemnity, identity theft protection, universal life, pet, and legal insurance.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
