JOB TITLE: Case Manager Registered Nurse Geisinger Health Plan

LOCATION:  Geisinger Medical Center

DEPARTMENT:Geisinger Health Plan Care Coordination

WORK SCHEDULE: Days

WORK TYPE: Full Time (1.0 FTE)

JOB SUMMARY:

Works under the supervision of the Regional Manager and Director, Case Management.

The Chronic Kidney Disease/Acute Kidney Injury RN case manager serves in an expanded nursing role to collaborate with patients/families and their health care team including nephrology, Primary Care Providers, and other specialists, to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services across the continuum. Assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patients health status. Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of transitions of care plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare for high risk population.

Develops core systems of care that monitor patients across the health continuum with a focus on effective and safe transitions from hospital to home, nursing home or rehab with a goal to optimize resources and reduce avoidable readmissions back to acute care. Promotes effective handoffs to appropriate primary care and specialty care teams. Works effectively with other members of the health care team to optimize interventions.

Manages performance feedback metrics to further refine the care model to maximize clinical, quality, and fiscal outcomes for the targeted population.

COMPETENCIES AND SKILLS:

Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals.

Demonstrates ability to work autonomously and be directly accountable for practice.

Demonstrates ability to influence and negotiate individual and group decision-making.

Demonstrates ability to function effectively in a fluid, dynamic, and rapidly changing environment.

Demonstrates leadership qualities including time management, verbal and written communication skills, listening skills, problem solving and decision-making, priority setting, work delegation and work organization.

EDUCATION AND/OR EXPERIENCE:

RN license or eligible for licensure in the state of Pennsylvania required. Bachelor's degree in health care preferred.

Obtain Case Management Certification within 3 years.

Minimum of five years experience in clinical nursing required particularly with acute care experience. Previous experience with case management preferred. Knowledge of the basic concepts and principles of managed care required.

Clinical experience with CKD/AKI preferred.

Critical thinking skills and ability to analyze complex data sets required. General computer knowledge and capability to use computers required

WORKING CONDITIONS/PHYSICAL DEMANDS:

Work is typically performed in the hospital and office environment. Some travel required.

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.

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.