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Utilization/Case Manager

4 months ago

Danville, United States Geisinger Health System Full time
Location:
Geisinger Medical Center (GMC)

Shift:
Days (United States of America)

Scheduled Weekly Hours:
40

Worker Type:
Regular

Exemption Status:
Yes

Job Summary:
Assesses for accuracy in the assignment of patient class (status) to reflect congruence with clinical condition, physician intent, and utilization review outcomes with current rules and regulatory requirements.

Job Duties:
  • Creates plan for care across the continuum, integrating patient and family preferences and values.
  • Monitors patient care through assessments, evaluations and patient records.
  • Advocates for resources and removal of barriers.
  • Maintains ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan.
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 a Ryan White Grant Funded position, if in the future the grant funding is no longer available , this role may be eliminated.

Hours: 8:00 a.m. - 4:30 p.m.

No Weekends, On Call, or Major Holidays

We're proud to offer competitive salaries and a comprehensive benefits package that includes:
  • Medical, prescription drug, vision and dental coverage
  • Family Support (Fertility and Adoption Support)
  • Employer contribution to your retirement plan
  • Tuition assistance (part time and full time roles only)
  • Generous paid time off packages that allows you to take the time you need to travel, rest, and care for and reconnect with friends and family.
  • Professional opportunities for growth and advancement
  • Support and mentorship from a full range of dedicated and experienced nursing leaders
  • Paid Military Leave
  • Community Involvement through our Employee Resources Groups
no weekends, no holiday, and no on call which is a BIG plus in case management

Education:
Bachelor's Degree-Social Sciences (Required)

Experience:
Minimum of 3 years-Related work experience (Required)

Certification(s) and License(s):

Skills:
Clinical Skills, Healthcare Industry, Medical Devices And Tools, Patient Safety

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, 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.