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.
EDUCATION AND/OR EXPERIENCE:
Registered Nurse with a valid unrestricted license or eligible for licensure in the state of Pennsylvania required
BSN Required or enrolled in program within 6 months of hire and degree obtained within 4 years
ACM within 2 years of eligibility or current CCM 3 years of clinical RN experience
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in a clinical or patient setting
HOURS OF WORK
May require 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.
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.
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. Geisinger is nationally recognized for innovative practices and quality care. A mature electronic health record connects a comprehensive network of 13 hospital campuses, two research centers and nearly 1,600 Geisinger primary and specialty care physicians.Geisinger is an integrated health services organization widely recognized for its innovative use of the electronic health record and the development of innovative care delivery models such as ProvenHealth Navigator®, ProvenCare® and ProvenExperience®. As one of the nation’s largest health service organizations, Geisinger serves more than 3 million residents throughout 45 counties in central, south-central and northeast Pennsylvania, and also in southern New Jersey at AtlantiCare, a Malcolm Baldrige National Quality Award recipient. In 2017, the Geisinger Commonwealth School of Medicine and Geisinger Je...rsey Shore Hospital became the newest members of the Geisinger Family. The physician-led system is 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, all of which leverage an estimated $12.7 billion positive impact on the Pennsylvania and New Jersey economies. Geisinger has repeatedly garnered national accolades for integration, quality and service. In addition to fulfilling its patient care mission, Geisinger has a long-standing commitment to medical education, research and community service. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.