Registered Nurse – Case Manager

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Evaluate, plan, implement, coordinate, supervise, and assess options and services to enhance patient or member health outcomes.

• Oversee utilization and practice metrics to improve care delivery and optimize clinical, quality, and financial results.

• Incorporate evidence-based clinical guidelines, preventive measures, protocols, and other metrics into patient-focused treatment strategies.

• Create care systems that track progress and encourage early intervention in acute care scenarios.

• Support the design, execution, and assessment of the advanced patient-centered care model.

• Evaluate the healthcare, educational, and psychosocial requirements of patients or members.

• Develop personalized care plans and promote collaboration among patients or members, families, primary care providers, and healthcare teams.

• Analyze laboratory results, diagnostic tests, utilization trends, and other metrics to evaluate quality and efficiency.

• Utilize benefits and management resources to assist patients or members and healthcare teams.

• Keep necessary documentation for case management activities organized.

• Gather essential data and apply it to modify treatment plans as necessary.

• Collaborate with a dedicated team to provide patient-centered care coordination and achieve outstanding outcomes.

⛳️ Requirements

• Minimum of two (2) years of experience as a Registered Nurse (RN).

• Graduate from a Specialty Training Program in Nursing.

• Licensed Registered Nurse in Pennsylvania (RN_State of Pennsylvania).

• Familiarity with healthcare laws, regulations, and insurance coverage policies is advantageous.

• Competence in healthcare IT systems and insurance claims processes is beneficial.

• Ability to function independently and as part of a multidisciplinary team is advantageous.

• Certification as a Case Manager by the American Case Management Association (ACMA) is preferred.

• Bachelor of Science in Nursing (BSN) is preferred.

• Experience in case management is preferred.

🏝️ Benefits

• Comprehensive benefits package (health, dental, and vision) effective from day one.

• Three medical plan options, including an expanded network for out-of-area employees and their dependents.

• Pre-tax savings plans featuring healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA).

• Company-sponsored life insurance, short-term disability, and long-term disability coverage.

• 401(k) plan with automatic contributions from Geisinger.

• Generous paid time off (PTO) policy that allows for rapid accrual.

• Up to $5,000 in tuition reimbursement available each calendar year.

• MyHealth Rewards wellness program offering financial incentives.

• Adoption and fertility assistance provided.

• Paid parental leave.

• Paid military leave.

• Complimentary Care.com membership with discounted backup care services.

• Employee Assistance Program (EAP), offering referrals for childcare, eldercare, pet care, free legal guidance, mental health visits, work-life support, and digital self-help tools.

• Optional benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life, pet, and legal insurance.

• Healthcare benefits available for full-time and part-time positions from day one, including vision, dental, and coverage for domestic partners.