RN - Registered Nurse Case Management - Regional Manager

Job Summary

As one of the Top 8 Most Innovative Healthcare Systems in Becker’s Hospital Review, we’re working to create a national model for improving health. Today, we’re focused on bringing our region services that improve every facet of life to drive total health, inside and out. Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact. Join us as a Regional Manager Case Manager – RN to strengthen that impact. This Regional Manager RN role will serve to provides clinical and administrative oversight of Medical Home and Care Coordination Case Managers. Learn more and let us know that that you are interest in a future with Geisinger’s Case Management team. We’d love to hear from you!

Job Duties

In this role you’ll provide clinical and administrative oversight of Medical Home and Care Coordination Case Managers and will have operational oversight of Medical Home implementation within assigned primary care practices. This includes delivery of disease and case management services, population analysis, primary care practice redesign, systems of care coordination, process improvement strategies, barrier analysis and data management. You’ll monitor staff performance and coordinate ongoing staff development strategies. Ensure staff compliance with regulatory requirement. 

The successful candidate must have at least five (5) years of RN work experience, have the ability to work autonomously and be self-directed.  This role is Monday through Friday, Exempt (salaried) and may require some travel.

• Manages nurse case managers in a dedicated region and ensures effective delivery of complex case management, resource utilization intervention, and disease management strategies.
• Monitors performance of case managers using a variety of performance feedback reports related to enrollment, quality, and efficiency outcomes.
• Meets with staff on regular basis to evaluate performance via direct observation and mentoring.
• Responds to deficiencies with appropriate modifications in strategy.
• Researches and resolves health information process issues.
• Assists in evaluation and implementation of effective information management systems.
• Allocates staff coverage to provide optimal utilization of staff resources.
• Posts, interviews, and hires new staff.
• Serves as a mentor and coach for case management staff.
• Fosters positive work environment for staff.
• Evaluates staff development needs and provides opportunities for ongoing professional development.
• Develop and coordinatesorientation of new nursing staff and monitors progress according to department standards.
• Conducts baseline medical home practice assessment in the practice site implementation process.
• This includes assessment of current workflows, division of labor, barrier analysis and suggested strategies for practice change.
• Oversees and provides education to practice sites to facilitate practice knowledge of medical home strategies, role and responsibility of team, medical home tools, etc.
• Facilitates monthly medical home site meetings and implements changes as determined and in collaboration with the assigned site and case managers.
• Leads in the ongoing process improvement strategies for medical home development as well as implementation of strategies designed to improve efficiency outcomes in conjunction with assigned primary care sites.
• Monitors and analyzes utilization and quality metrics to recommend and implement change strategies with assigned sites to improve overall staff and practice efficiency of readmissions, pharmaceutical use, radiology use, ecetra.
• Identifies opportunities with other systems of care to identify and eliminate barriers and implement improvement strategies designed to improve transitions of care.

Geisinger caresabout not only its patients and members but also about you and your family. We offer a competitive compensation and benefits package to ensure that you and your loved ones can maintain good health, achieve financial stability, and excel both personally and professionally. We believe in creating a diverse and inclusive environment where all employees can be their authentic selves. To learn more: https://jobs.geisinger.org/diversity

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