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. Learn more and let us know that that you are interested in a future with Geisinger’s Care Management team. We’d love to hear from you!

Job Duties

The Regional Director of Care Management provides direction and leadership to the continuum of care management program. Responsible for the daily operations of all functional components of staff competency, software systems support, performance-reporting, interface with other clinical enterprise departments, policies and procedures. Responsible for compliance with all relevant regulations for interaction with all associated regulatory agencies. Provides administrative and managerial direction for department. Establishes an integrated approach and use of clinical and financial data in program design, implementation and evaluation.

This role is full-time, Exempt (salaried), Monday through Friday with some weekends as needed. A Bachelor's Degree is required. An RN in the State of Pennsylvania is required. Five (5) years related work experience is required; previous managerial/supervisory experience is strongly preferred

• Contributes to the design and development of Care Management programs in coordination with division leadership.
• Oversees recruitment and retention of all professional and paraprofessional staff.
• Maintains operational responsibility for staffing plans to support the department including position descriptions, performance evaluations, action plans, employee goal setting, hiring, promotion and disciplinary actions.
• Assists with annual budget preparation for capital, manpower and operations funding.
• Ensures that the department operates in a cost effective manner Contributes to the establishment and delivery of initial and ongoing staff education programs.
• Maintains compliance with all relevant regulations as related to the department; specifically, in the areas of consistent standards of care, documentation, and consistency in decision making.
• Establishes collaborative working relationships within and outside the organization.
• Ensures appropriate and accurate documentation of all serviced ordered and rendered on patient medical record.
• Discerns content, manner and timing of information sharing with sensitivity to individual and organizational concerns.
• Responsible for hospital utilization functions-determination of appropriate clinical utilization.
• Responsible for monitoring and reporting trends in utilization.
• Responsible for improvement related to opportunities illuminated by trended data.
• Integrates this function and data with all other pertinent hospital processes and functions.
• Responsible for all related regulatory compliance.
• Supervises department staff.

Geisinger cares about 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

• 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

Work is typically performed in a clinical 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.

Education

Bachelor's Degree- (Required), Master's Degree- (Preferred)

Experience

Minimum of 5 years-Related work experience (Required)

Certification(s) and License(s)

Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania

Skills

Clinical Policies And Standards; Office Administration; Patient Assessment And Care

About Geisinger

Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.

Our Commitment to Diversity, Equity and Inclusion

Geisinger values who you are, where you are from, and where you are going. We seek out people of various backgrounds and cultures with unique abilities, non-traditional career paths and ambitious aspirations. We are an Affirmative Action, Equal Opportunity Employer. Women and Minorities are encouraged to apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. Read more about Our Commitment to Inclusive Recruiting.

Our Vision & Values

Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities.

KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.

EXCELLENCE: We treasure colleagues who humbly strive for excellence.

LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.

INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.

SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

Our Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.