Job Summary

Job Duties

• Are you a RN looking to join our team of Healthcare Heroes? 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. To join Geisinger as an Inpatient RN and start leading healthcare change, please apply now!

• Works in conjunction with physicians, nurses, inter disciplinary team and others to assess, plan and initiate patient plan of care.
• Facilitates and coordinates details of the actual discharge to appropriate agencies.
• Facilitates and coordinates an individualized care coordination plan.
• Serves as a resource to physician and hospital personnel regarding available agency, facility, and community services to assist in discharge planning.
• Completes appropriate federal, state and local forms.
• Ensures adherence to quality standards and participation in quality monitoring and improvement by monitoring quality of care using predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate departments through defined processes, and enters data as requested and appropriate for role, to support quality improvement initiatives into appropriate system.
• Conducts on-going case review for delays or variances in care; raises issues with appropriate department, attending physician and physician designee.
• Captures data per department policy.
• Communicates to appropriate physician identified issues for resolution and intervention.
• Uses approved medical necessity criteria as a tool to ensure that patients meet appropriateness of the setting.
• Actively involves payer liaison role in any case that has potential of not meeting medical necessity guidelines.
• Supports payer liaison role to resolve barriers through appropriate administrative and medical channels to avoid third party payer denials.
• Maintains awareness of all concurrent denials through interaction with payer liaison.
• Works with payer liaison to facilitate timely discharge or alternative plan of care acceptable to physician, family and payer.

Work is typically performed in a clinical and 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. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

We're proud to offer:

• Competitive salaries and a comprehensive benefits package, including health insurance
• The ability to work under a Temporary Practice Permit until you take NCLEX (GN only)
• Tuition and relocation assistance (part time and full time roles only)
• A shared governance structure
• Professional opportunities for growth and advancement
• Support and mentorship from a full range of dedicated, experienced nursing leaders

Education

Experience

Certification(s) and License(s)