Job Summary

Job Duties

The RN Care Manager within the Geisinger at Home program plays a vital role in delivering patient-centered care to Geisinger Health Plan’s most complex members in a home-based setting. This position works collaboratively with physicians, nurses, and an interdisciplinary care team to assess, plan, and implement individualized care plans that promote optimal health outcomes.

Typical hours are 4 Shifts: 8 AM to 4:30 PM. 1 Shift: 10 AM - 6:30 PM

Rotation of Weekends & Holidays. Will be fully reviewed at interview.

This role is to support home visits to patients in Luzerne and Lackawanna County.

Your primary territory will be Luzerne and Lackawanna County but may need to cover other areas as needed. Company car will be provided.

Prior nursing experience in an Emergency Department, ICU or Home Health environment is preferred but not required

A minimum of three (3) years of RN work experience is required.

To learn more about Geisinger at Home, please visit:

Benefits of Working at Geisinger:

• 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

Position Details

• Manage a panel of patients based on geographic location, ensuring continuity and coordination of care.

• Develop personalized care plans and coordinate services across the patient’s healthcare team to ensure comprehensive, patient-centered care.

• Practice at the top of the nursing license, delivering timely interventions at the point of contact to prevent delays in care.

• Engage patients and their support systems in meaningful conversations to align healthcare delivery with patient goals and preferences.

• Delegate appropriate tasks to interdisciplinary team members and maintain strong communication across the care continuum.

• Facilitate enrollment, routine, acute, and transitional care visits in the patient’s home environment.

• Works in conjunction with physicians, nurses, inter disciplinary team and others to assess, plan and initiate patient plan of care.
• Facilitates and coordinates details of the actual discharge to appropriate agencies.

Work is typically performed in a clinical and office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

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Experience

Certification(s) and License(s)

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