RN - Pediatric Registered Nurse Case Manager - GHP

Job Summary

Geisinger Health Plan is dedicated to improving health accessibility and quality. This role involves supporting the organization’s vision through case management, working within a collaborative environment.

Job Duties

• Assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing patient or member health status.
• Manages utilization and practice metrics to refine care delivery models.
• Develops systems of care that monitor progress and promote early intervention in acute care situations.
• Designs individualized plans of care and fosters a team approach with patients, families, and healthcare teams.
• Maintains required documentation for all case management activities.
• Collects and utilizes data to adjust treatment plans as needed.

Requirements

• At least two (2) years of RN work experience.
• Certified Case Manager / American Case Management Association (ACMA) within two (2) years of hire date.
• Bachelor's Degree in Nursing (BSN) preferred.
• Strong pediatric nursing experience preferred.
• Case management experience preferred.
• Knowledge of pediatric healthcare laws, regulations, and insurance coverage policies.
• Proficiency in healthcare IT systems and insurance claims processes.
• Ability to work autonomously and as part of a multidisciplinary team.

Benefits

• 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 with automatic Geisinger contributions.
• Generous paid time off (PTO) plan that allows quick accrual.
• Up to $5,000 in tuition reimbursement per calendar year.
• MyHealth Rewards wellness program with financial incentives.
• Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay, and a free Care.com membership with discounted backup care.
• Employee Assistance Program (EAP) offering referrals for childcare, eldercare, and pet care, 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

• Works in a clinical environment.
• Accountable for job-specific obligations and adheres to organizational policies and procedures.

Education & Experience

• Graduate from a Specialty Training Program-Nursing.
• Bachelor's Degree-Nursing preferred.
• Minimum of 2 years-Nursing experience.

Certification & License

• Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania.
• Certified Case Manager within 2 years - American Case Management Association (ACMA).