Full-Time

RN – Registered Nurse

Case Manager

Confirmed live in the last 24 hours

Geisinger

Geisinger

No salary listed

Mid

Danville, PA, USA

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Requirements
  • Minimum of 3 years of RN work experience (Required)
  • Graduate from Specialty Training Program-Nursing (Required)
  • Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania
  • Computer Literacy
  • Critical Thinking
  • Organizing
Responsibilities
  • Assess, plan, implement, coordinate, monitor and evaluate all options and services with the goal of optimizing the patient or member's health status.
  • Manage utilization and practice metrics to refine the delivery of care model to maximize clinical, quality, and fiscal outcomes.
  • Integrate evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric.
  • 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 health care team.
  • 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.
Desired Qualifications
  • Bachelor's Degree-Business Administration/Management (Preferred)

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