Are you an experienced RN looking to join our team of Healthcare Heroes? Geisinger is hiring a RN Regional Manager for Women's Health Case Management. This is a great opportunity to lead a dynamic team that manages complex pediatrics and obstetric patients to ensure optimal patient outcomes.Through professional growth, quality improvement, and interdisciplinary collaboration, we've built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact. Our Geisinger nurses make a difference in the lives of the people they see every day- our friends, neighbors, and family members.
Provides clinical and administrative oversight of HealthChoices, Medical Home and Care Coordination Case Managers and has operational oversight of Medical Home implementation within assigned primary care practices. This includes delivery of disease and case management services, population analysis, primary care practice redesign, systems of care coordination, process improvement strategies, barrier analysis and data management. Monitors staff performance and coordinates ongoing staff development strategies. Ensures staff compliance with regulatory requirement.
Develops a medical management model to support pregnant women and promote healthy newborn children and address other women's health issues that produces quality outcomes.
Develops policies and procedures to provide access and support to the HealthChoices population specific to women's health needs.
Develops and implements member-focused programs for the women's health populations to ensure that all targeted or required clinical quality and utilization outcomes are attained in this population.
Develops and implements provider-focused programs to ensure that HealthChoices members receive appropriate access to needed women's health services.
Develops relationships with key community resources, appropriate staff within the Department of Public Welfare (DPW), and other state governmental entities, thereby ensuring ready access to the support system needed to render care for the HealthChoices population.
Coordinates with the staff to identify and address areas within the network where out-of-network providers are needed to secure required maternal and dental services.
Participate in industry associations to identify through clinical experience best practices in the care and treatment for the Women's Health issues.
Works with management to ensure that all HealthChoices and the Health Plan staff are trained on the Policies and Procedures of the Maternal Health program.
Outreach to women's health and community provider agencies including public speaking to educate regarding the health plans initiatives and programs to improve overall member outcomes.
Manages nurse case managers in a dedicated region and ensures effective delivery of complex case management, resource utilization intervention, and disease management strategies.
Monitors performance of case managers using a variety of performance feedback reports related to enrollment, quality, and efficiency outcomes.
Meets with staff on regular basis to evaluate performance via direct observation and mentoring.
Responds to deficiencies with appropriate modifications in strategy.
Researches and resolves health information process issues.
Assists in evaluation and implementation of effective information management systems.
Allocates staff coverage to provide optimal utilization of staff resources.
Posts, interviews, and hires new staff.
Serves as a mentor and coach for case management staff.
Fosters positive work environment for staff.
Evaluates staff development needs and provides opportunities for ongoing professional development.
Develop and coordinates orientation of new nursing staff and monitors progress according to department standards.
Conducts baseline medical home practice assessment in the practice site implementation process.
This includes assessment of current workflows, division of labor, barrier analysis and suggested strategies for practice change.
Oversees and provides education to practice sites to facilitate practice knowledge of medical home strategies, role and responsibility of team, medical home tools, etc.
Facilitates monthly medical home site meetings and implements changes as determined and in collaboration with the assigned site and case managers.
Leads in the ongoing process improvement strategies for medical home development as well as implementation of strategies designed to improve efficiency outcomes in conjunction with assigned primary care sites.
Monitors and analyzes utilization and quality metrics to recommend and implement change strategies with assigned sites to improve overall staff and practice efficiency of readmissions, pharmaceutical use, radiology use, etcetera.
Identifies opportunities with other systems of care to identify and eliminate barriers and implement improvement strategies designed to improve transitions of care.
Work is typically performed in an office 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.
Preferred experience: Pediatrics or Women's Health
Monday through Friday from 8:00AM to 4:30PM
Occasional on-call and after hour manager responsibilities
Travel up to 25% to for meetings and staff engagement
This position is Work From Home and can sit anywhere within the Geisinger Territory - must be willing to travel as needed
We're proud to offer competitive salaries and a comprehensive benefits package that includes:
Medical, prescription drug, vision and dental coverage
Family Support (Fertility and Adoption Support)
Employer contribution to your retirement plan
Tuition assistance (part time and full time roles only)
Generous paid time off packages that allows you to take the time you need to travel, rest, and care for and reconnect with friends and family.
Professional opportunities for growth and advancement
Support and mentorship from a full range of dedicated and experienced nursing leaders
Paid Military Leave
Community Involvement through our Employee Resources Groups
Graduate from Specialty Training Program-Nursing (Required)
Minimum of 5 years-Nursing (Required)
Certification(s) and License(s)
Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania
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 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.
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 13... 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.