RN - Registered Nurse Case Manager - Care Coordination Specialist

5 days ago


College Station, Texas, United States Geisinger Health System Full time
Job Title: RN - Registered Nurse Case Manager - Care Coordination

Geisinger Health System is seeking a skilled RN - Registered Nurse Case Manager - Care Coordination to join our team. As a RN - Registered Nurse Case Manager - Care Coordination, you will play a vital role in assessing, planning, implementing, coordinating, monitoring, and evaluating all options and services with the goal of optimizing the patient or member's health status.

Key Responsibilities:
  • Integrate evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare for the identified population.
  • 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 the healthcare, educational, and psychosocial needs of patients or members.
  • Design an individualized plan of care and foster a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the healthcare team to ensure coordination of services.
  • Continuously evaluate laboratory results, diagnostic tests, utilization patterns, and other metrics to monitor quality and efficiency results for assigned population.
  • Work to appropriately apply benefits and utilization management serving as a resource to the patient or member and healthcare team.
  • Maintain required documentation for all case management activities.
  • Collect required data and utilize this data to adjust the treatment plan when indicated.
Requirements:
  • Minimum of 3 years of RN work experience.
  • Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania.
  • CCM certification is required in 3 years. Geisinger will assist with this.
What We Offer:
  • 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 Care.com 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.


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