RN - Registered Nurse Care Manager - Geisinger at Home Care Transition

2 weeks ago


Danville, Virginia, United States Geisinger Health System Full time
Job Summary

The Registered Nurse Care Manager plays a vital role in optimizing discharge planning for Geisinger at Home patients, serving as a liaison between hospital, Geisinger at Home, Care Coordination & Integration, and community agencies.

Key Responsibilities
  • Collaborate with inpatient and outpatient Case Management healthcare professionals to develop personalized, timely, and safe discharges home.
  • Identify and resolve barriers to Geisinger Health Plan (GHP) lines of business and Keystone Accountable Care Organization (KACO) members returning home from hospitalization.
  • Participate in daily interdisciplinary team meetings inpatient at Geisinger Facilities and collaborate with inpatient team in development of a plan of care for Population Health Management established/potential patients.
  • Monitor GHP & KACO members while admitted to Geisinger Facilities.
  • Screen, engage, and schedule home visits at bedside to optimize transition of care process.
  • Communicate with patient family/caregivers at bedside or phone call in efforts to optimize timely discharge planning.
  • Complete/continue advanced care planning discussions at bedside.
  • Identify patients appropriate for remote patient monitoring and placement of orders.
  • Collaborate with outpatient interdisciplinary patient care professionals to update on discharge planning.
  • Initiate and monitor completeness, accuracy, and timeliness of all documentation.
  • Provide documentation of initial assessments and reviewing of all referrals for accuracy and content prior to discharge.
  • Report potential risk or quality management.
  • Escalate issues to resource as necessary to resolve barriers through appropriate administrative and medical channels.
Requirements
  • Minimum of 3 years RN work experience is required; prior inpatient or case management experience is preferred.
  • Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life Support Certification - Default Issuing Body.
Benefits
  • 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.
About Geisinger Health System

We are 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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