Works with physician and multidisciplinary team members to develop plan of care for each assigned patient from admission through discharge. Ensure patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and evaluations. Assess and respond to patient andfamily needs by coordinating efforts of other team members. Identifies and resolves barriers that hinder effective patient care.
Job Duties 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.Facilitates and coordinates an individualized care coordination plan.Serves as a resource to physician and hospital personnel regarding available agency, facility, and community services to assist in discharge planning.Completes appropriate federal, state and local forms.Ensures adherence to quality standards and participation 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 enters data as requested and appropriate for role, to support quality improvement initiatives into appropriate system.Conducts on-going case review for delays or variances in care; raises issues with appropriate department, attending physician and physician designee.Captures data per department policy.Communicates to appropriate physicianidentified issues for resolution and intervention.Uses approved medical necessity criteria as a tool to ensure that patients meet appropriateness of the setting.Actively involves payer liaison role in any case that has potential of not meeting medical necessity guidelines.Supports payer liaison role to resolve barriers through appropriate administrative and medical channels to avoid third party payer denials.Maintains awareness of all concurrent denials through interaction with payer liaison.Works with payer liaison to facilitate timely discharge or alternative plan of care acceptable to physician, family and payer.
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.
Hours: 40 hours per week; Days, Evenings and Weekends- to be discussed further during interview
On-Call: None
Experience: 3 years RN work history is required
Union: Yes
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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 dependentsPre-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 coverage401(k) plan that includes automatic Geisinger contributionsRobust PTO plan in addition to six paid holidays and 32 hours of personal time per yearUp to $5,000 in tuition reimbursement per calendar yearMyHealth Rewards wellness program to improve your health while earning a financial incentiveFamily-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 onesEmployee 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 Education Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred) Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania Skills Teamwork; Preceptor Skills; Communication; Computer Literacy; Clinical Skills; Interpersonal Communication About GeisingerFounded 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 InclusionGeisinger 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 & ValuesEverything 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 BenefitsWe offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.