The RN Care Manager, as part of an interdisciplinary team, including the patient/family, physicians, nurses, therapists and payors ensures that the patients progress in the acute episode of care through post discharge and is quality driven while being efficient and cost effective.
The incumbent interacts with patients, family members, healthcare professionals, and community and state agencies in this effort. The RN Care Manager serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information.
The RN Care Manager identifies high risk patients from a psychosocial/financial perspective, assesses the psychological needs of patients and families and provides information, support, counseling, care management, and referrals to appropriate resources.
The RN Care Manager works collaboratively with the interdisciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum. The expertise of the RN Care Manager is sought to resolve psychosocial patient care issues and to develop and implement a complex patient transition/discharge plan.
The RN Care Manager performs duties and tasks in accordance with performance standards established for the job. Practices within the patient safety guidelines. In addition, the RN Care Manager conducts all job responsibilities according to the Mission and Values of the organization.
Responsible for ensuring the very best patient/family experience by optimizing all customer interaction. Foster a positive work environment through mutual support and cooperation and adheres to GHS and unit specific Service Standards.
Reports to the Director of Care Management or Designee
COMPETENCIES AND SKILLS:
Demonstrates knowledge of payor practices and regulatory mandates.
Demonstrates exceptional ability to retrieve clinical information from medical chart/documentation.
Demonstrates working knowledge of third party payers and pre-certification process.
Demonstrates the ability to review medical clinical documentation for sustained periods of time with high level of concentration.
Demonstrates the ability to collaborate with other members of the healthcare team and providers in a positive, professional, progressive and assertive manner.
Demonstrates excellent written and oral communication skills.
Demonstrates computer literacy.
Demonstrates strong human relations skills.
Demonstrates sound judgment, high moral standards, and a sincere desire to work with the Elderly Population .
Demonstrates good oral and written communication skills.
Demonstrates ability to work under pressure.
Demonstrates ability to communicate effectively with all socio-economic levels.
Demonstrates compassion, tact, and diplomacy in dealing with residents, families, physicians, and co-workers.
Demonstrates ability to adhere strictly to principles of confidentiality.
Demonstrates ability to assess resident/family needs and to handle grief crisis situations.
EDUCATION AND/OR EXPERIENCE:
Registered Nurse with a valid, unrestricted State license required.
Bachelor’s degree in Nursing preferred.
Three years of clinical or acute care experience; additional three to five years of experience required if nursing education not at the Bachelors degree. Certification in case management and or utilization review is required within three years of hire.
Care management knowledge and experience, particularly across the continuum preferred.
Payer case management, utilization management, or disease management experience preferred.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in a clinical or patient setting. On- Call, Weekends, and Holiday Rotation.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
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.
GEISINGER-COMMUNITY MEDICAL CENTER (G-CMC), Scranton, Pa., is an acute care hospital licensed for 297 beds and houses the only Level II Trauma Center in Lackawanna County and Scranton’s only neurosurgery program and adult in-patient behavioral health unit. It is also home to comprehensive cardiovascular and orthopaedic services, as well as a broad range of other surgical and radiological services.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of 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, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
Internal Number: 61849
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.