LOCATION: Geisinger Health Plan - Bloomsburg North Central
DEPARTMENT:GHP Health and Wellness
WORK SCHEDULE: Days.
WORK TYPE: Full Time (1.0 FTE)
Works under the direct supervision of the Regional Manager, Health Management.
Serves in an expanded nursing role to coordinate and provide disease management education and clinical management for Geisinger Health 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 members health care needs. Integrates identified member needs, education pathways, clinical guidelines and diagnostic tests to develop individualized plans of care.
Utilizes marketing skills in the Health Plans network of providers to identify and enroll members with chronic health conditions into Health Management programs, as well as refer members to appropriate case management and specialty services. Assesses community and employer work-site needs to support wellness and health management programs.
Collects and analyzes data, maintains documentation and adjusts interventions to maximize clinical, quality, and fiscal outcomes. Participates in Quality Improvement activities as required.
COMPETENCIES AND SKILLS:
Demonstrates strong interpersonal skills to interact in an effective manner with the practitioners, the health care team, members and their families.
Demonstrates the ability to work autonomously, establish priorities, and be directly accountable for practice.
Demonstrates the ability to be flexible, function effectively in a fluid, dynamic, and rapidly changing environment.
Demonstrates leadership qualities including time management, problem solving and decision-making, priority setting, work organization, and verbal/written communication skills.
Demonstrates advanced assessment and clinical skills with chronic illnesses to function as a generalist with a managed care population.
Demonstrates the ability to analyze outcomes and design interventions.
EDUCATION AND/OR EXPERIENCE:
Requires a RN license, or eligible for licensure in the state of Pennsylvania. Bachelors degree in nursing and/or health care preferred.
Minimum of three to five years experience in clinical nursing with emphasis on patient education and program management required. Ambulatory care/managed care experience is preferred.
Computer experience required.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Requires the ability to travel to multiple office locations and manage fluctuating work hours, including off shift, weekend, etc. as needed. Valid Pennsylvania driver's license and willingness to travel as required.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
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.
GEISINGER HEALTH PLAN (GHP) is the health insurance component of Geisinger and serves over 460,000 members in Pennsylvania and West Virginia. Begun in 1985, GHP provides high quality, affordable health-care benefits for businesses of all sizes, individuals and families, and Medicare beneficiaries.
About Geisinger: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of 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. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. 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.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family. Geisinger is nationally recognized for innovative practices and quality care. A mature electronic health record connects a comprehensive network of 13 hospital campuses, two research centers and nearly 1,600 Geisinger primary and specialty care physicians.Geisinger is an integrated health services organization widely recognized for its innovative use of the electronic health record and the development of innovative care delivery models such as ProvenHealth Navigator®, ProvenCare® and ProvenExperience®. As one of the nation’s largest health service organizations, Geisinger serves more than 3 million residents throughout 45 counties in central, south-central and northeast Pennsylvania, and also in southern New Jersey at AtlantiCare, a Malcolm Baldrige National Quality Award recipient. In 2017, the Geisinger Commonwealth School of Medicine and Geisinger Je...rsey Shore Hospital became the newest members of the Geisinger Family. The physician-led system is comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan, all of which leverage an estimated $12.7 billion positive impact on the Pennsylvania and New Jersey economies. Geisinger has repeatedly garnered national accolades for integration, quality and service. In addition to fulfilling its patient care mission, Geisinger has a long-standing commitment to medical education, research and community service. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.