RN - Registered Nurse Case Manager - Care Coordination Specialist
2 weeks ago
As a RN Case Manager, you will play a critical role in optimizing the health status of patients or members by assessing, planning, implementing, coordinating, monitoring, and evaluating all options and services. This position requires a strong understanding of evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics to develop patient-centric treatment plans that promote quality and efficiency in healthcare delivery.
Key Responsibilities- Integrate clinical guidelines and metrics to develop treatment plans that prioritize patient needs and promote quality and efficiency in healthcare delivery.
- Design and implement systems of care that monitor progress and promote early intervention in acute care situations.
- Collaborate with patients, families, primary care providers, and other healthcare team members to ensure coordination of services and develop individualized plans of care.
- Continuously evaluate laboratory results, diagnostic tests, utilization patterns, and other metrics to monitor quality and efficiency results for assigned populations.
- Apply benefits and utilization management principles to ensure optimal healthcare delivery and resource allocation.
- Maintain accurate documentation for all case management activities and collect required data to inform treatment plan adjustments.
- 3+ years of RN work experience
- CCM certification within 3 years
- Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred)
Geisinger offers a comprehensive benefits package, including health, dental, and vision insurance, 401(k) plan, paid time off, and tuition reimbursement. We also offer a diverse and inclusive work environment, with opportunities for professional growth and development.
We are an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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