Full-Time

RN – Registered Nurse Case Manager

Care Coordinator

Confirmed live in the last 24 hours

Geisinger

Geisinger

No salary listed

Mid

Wilkes-Barre, PA, USA

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Requirements
  • Minimum of 3 years-Nursing (Required)
  • Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania
  • Graduate from Specialty Training Program-Nursing (Required)
  • Computer Literacy
  • Critical Thinking
  • Organizing
Responsibilities
  • Assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient or member's health status.
  • Manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes.
  • Integrates 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.
  • Develops systems of care that monitor progress and promote early intervention in acute care situations.
  • Assists with the design, implementation, and evaluation of the advanced patient centered care model.
  • Assesses the healthcare, educational and psychosocial needs of patients or members.
  • Designs an individualized plan of care and fosters a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the health care team to ensure coordination of services.
  • Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population.
  • Works to appropriately apply benefits and utilization management serving as a resource to the patient or member and healthcare team.
  • Maintains required documentation for all case management activities.
  • Collects required data and utilizes this data to adjust the treatment plan when indicated.
Desired Qualifications
  • Bachelor's Degree-Business Administration/Management (Preferred)

Company Size

N/A

Company Stage

N/A

Total Funding

N/A

Headquarters

N/A

Founded

N/A