Key skills
Communication
About this role
Role Overview
- Play a vital role in delivering patient-centered care to Geisinger Health Plan’s most complex members in a home-based setting
- Work collaboratively with physicians, nurses, and an interdisciplinary care team to assess, plan, and implement individualized care plans that promote optimal health outcomes
- Coordinate efforts of other team members to assess and respond to patient and family needs
- Identify and resolve barriers that hinder effective patient care
- Complete appropriate federal, state and local forms
- Ensure adherence to quality standards and participate in quality monitoring and improvement by monitoring quality of care using predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate departments through defined processes, and enter data as requested and appropriate for role, to support quality improvement initiatives into appropriate system
- Conduct on-going case review for delays or variances in care; raises issues with appropriate department, attending physician and physician designee
- Use approved medical necessity criteria as a tool to ensure that patients meet appropriateness of the setting
- Actively involve payer liaison role in any case that has potential of not meeting medical necessity guidelines.
Requirements
- At least (3) years of RN work experience is required
- Prior nursing experience in an Emergency Department, ICU or Home Health environment is preferred but not required
- Graduate from Specialty Training Program-Nursing (Required)
- Bachelor's Degree-Healthcare Related Degree (Preferred)
- Basic Life Support Certification
- Default Issuing BodyDefault Issuing Body
- Licensed Registered Nurse (Pennsylvania)
- RN_State of PennsylvaniaRN_State of Pennsylvania
- Skills: Acts Decisively, Care Management Knowledge, Communication, Interpersonal Communication, Multitasking, Organizing, Teamwork
Benefits
- Full benefits (health, dental and vision) starting on day one
- Three medical plan choices, including an expanded network for out-of-area employees and dependents
- Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)
- Company-paid life insurance, short-term disability, and long-term disability coverage
- 401(k) plan that includes automatic Geisinger contributions
- Generous paid time off (PTO) plan that allows you to accrue time quickly
- Up to $5,000 in tuition reimbursement per calendar year
- MyHealth Rewards wellness program to improve your health while earning a financial incentive
- Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones
- Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.
- Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance.