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Provides direction and leadership to the continuum of care management program. Responsible for the daily operations of all functional components of staff competency, software systems support, performance-reporting, interface with other clinical enterprise departments, policies and procedures. Responsible for compliance with all relevant regulations for interaction with all associated regulatory agencies. Provides administrative and managerial direction for department. Establishes an integrated approach and use of clinical and financial data in program design, implementation and evaluation.
Job Duties
Contributes to the design and development of Care Management programs in coordination with division leadership.
Oversees recruitment and retention of all professional and paraprofessional staff.
Maintains operational responsibility for staffing plans to support the department including position descriptions, performance evaluations, action plans, employee goal setting, hiring, promotion and disciplinary actions.
Assists with annual budget preparation for capital, manpower and operations funding.
Ensures that the department operates in a cost effective manner Contributes to the establishment and delivery of initial and ongoing staff education programs.
Maintains compliance with all relevant regulations as related to the department; specifically, in the areas of consistent standards of care, documentation, and consistency in decision making.
Establishes collaborative working relationships within and outside the organization.
Ensures appropriate and accurate documentation of all serviced ordered and rendered on patient medical record.
Discerns content, manner and timing of information sharing with sensitivity to individual and organizational concerns.
Responsible for hospital utilization functions-determination of appropriate clinical utilization.
Responsible for monitoring and reporting trends in utilization.
Responsible for improvement related to opportunities illuminated by trended data.
Integrates this function and data with all other pertinent hospital processes and functions.
Responsible for all related regulatory compliance.
Supervises department staff.
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.
Position Details
We are seeking an experience Registered Nurse or Social Worker for this position.
Minimum of 5 years-Related work experience (Required)
Certification(s) and License(s)
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.