Serves in an expanded nursing role to coordinate and provide disease management education and clinical management for plan members enrolled in Health Management programs. Collaborates with primary care providers in multiple practice sites to facilitate clinical guideline adherence and coordinate services specifically related to the member s health care needs.
Assists leadership in the design, implementation and evaluation of health management programs to support overall the Health Plan goals and strategic business strategies.
Receives referrals for health management, assures appropriateness of member referrals, and triages and stratifies members according to assessed needs for enrollment into Health Management programs.
Utilizes established education pathways to direct comprehensive and consistent disease management education to members.
Assesses physical, social, and functional status to direct education and management activities.
Coordinates services and serves as a resource to members, families, and staff for all Health Management programs.
Collaborates with primary care providers to enhance evidence-based clinical guideline adherence and promote best practice by initiating and adjusting therapies as directed by the practitioner and providing approprionitoring as needed.
Facilitates and coordinates laboratory and diagnostic tests for all disease management programs.
Continuously evaluates members progress toward desired health outcomes and adjusts plan of care for optimal outcomes.
Markets the role and value of health management in disease management and case management to primary care providers, office staff and the community.
Collects and documents data, analyzes and communicates results and documents as required for Health Management programs.
Assesses health care needs for employer work groups and community sites, and provides appropriate health management programs.
Collects, evaluates and documents interventions and outcomes for these programs according to Health Management standards.
Utilizes Health Management outcomes to promote benefits and availability of disease and case management services with providers and other health care providers.
Identifies problems, proposes process improvement strategies and assists the Care Coordination team in Quality Improvement activities.
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.
Certified Diabetes Educator Certification
Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred)
Minimum of 3 years-Nursing (Required)
Certification(s) and License(s)
Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life Support Certification - Default Issuing Body
OUR PURPOSE & VALUES: Everything we do is about caring 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 We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
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.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 1...3 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.