RN - Registered Nurse - Case Manager
About The Position
This is a full-time, exempt Registered Nurse opportunity on the Care Coordination team supporting Geisinger Wyoming Valley. The typical schedule is Monday through Friday on days, with a weekend rotation approximately every third weekend and an in-house holiday rotation. At least three years of RN work experience is required. The Case Manager assesses, plans, implements, coordinates, monitors, and evaluates options and services to optimize patient or member health. The role manages utilization and practice metrics to refine care delivery and support clinical, quality, and fiscal outcomes. It applies evidence-based clinical and preventive guidelines, protocols, and other metrics to develop patient-centered treatment plans that promote quality and efficiency. The position develops systems to monitor progress and promote early intervention in acute care, and assists with the design, implementation, and evaluation of an advanced patient-centered care model. The Case Manager assesses healthcare, educational, and psychosocial needs; creates individualized plans of care; 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; supports appropriate benefits and utilization management; maintains case management documentation; and uses collected data to adjust treatment plans when indicated. Work is typically performed in a clinical environment. The employee is accountable for fulfilling job-specific obligations and complying with organizational policies and procedures. The description represents typical job elements and is not all-inclusive; department-specific orientation competencies and skills are also essential. Geisinger describes its culture as collaborative and focused on kindness, excellence, learning, innovation, and safety.
Requirements
- At least three years of related RN work experience.
- Graduate from a nursing specialty training program.
- Licensed Registered Nurse in Pennsylvania.
- Computer literacy, critical thinking, and organizing skills.
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.
- Apply evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics to develop patient-centered treatment plans.
- Develop systems of care that 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 patients’ or members’ healthcare, educational, and psychosocial needs.
- Design individualized plans of care and coordinate services collaboratively with patients or members, families, primary care providers, and other healthcare team members.
- Continuously evaluate laboratory results, diagnostic tests, utilization patterns, and other metrics to monitor quality and efficiency for the assigned population.
- 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 benefits starting on day one.
- Three medical plan choices, including an expanded network for out-of-area employees and dependents.
- Pre-tax healthcare and dependent care flexible spending accounts and a health savings account.
- Company-paid life insurance, short-term disability, and long-term disability coverage.
- 401(k) plan with automatic Geisinger contributions.
- Paid time off plan that allows employees to accrue time quickly.
- Tuition reimbursement of up to $5,000 per calendar year.
- MyHealth Rewards wellness program with a financial incentive.
- Adoption and fertility assistance, parental leave pay, military leave pay, and a free Care.com membership with discounted backup care.
- Employee Assistance Program, including referrals for childcare, eldercare, and pet care; free legal guidance; mental health visits; work-life support; and digital self-help tools.
- Voluntary 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
