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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in developing and coordinating individualized patient care plans, ensuring compliance with medical necessity criteria, and effectively communicating with multidisciplinary teams. Proficient in quality monitoring and improvement initiatives within home healthcare settings.
Highest-signal resume keywords
Registered Nurse License (Pennsylvania)Case Management ExperiencePatient Care Plan DevelopmentQuality Monitoring and ImprovementBasic Life Support Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient AssessmentsCare CoordinationDischarge PlanningRisk ManagementData Entry for Quality Monitoring
Soft Skills
Communication SkillsTeam CollaborationProblem-Solving Skills
Certifications & Qualifications
Basic Life Support Certification
Industry Keywords
Home HealthcareMedicare AdvantagePatient CareClinical EnvironmentCompliance with Policies
About the role
Key responsibilities & impact- Provide personalized healthcare to eligible Geisinger Gold Medicare Advantage members in their homes
- Work with physicians and multidisciplinary team members to develop patient care plans from admission through discharge
- Monitor patient progress through assessments and evaluations
- Assess and respond to patient and family needs by coordinating team efforts
- Identify and resolve barriers to effective patient care
- Assess, plan and initiate individualized patient care plans
- Facilitate and coordinate discharge to appropriate agencies
- Serve as a resource regarding agency, facility and community services for discharge planning
- Complete federal, state and local forms
- Monitor quality of care and report risk and quality management issues
- Participate in quality monitoring and improvement initiatives and enter requested data
- Conduct ongoing case reviews for delays or variances in care
- Communicate identified issues to physicians for resolution and intervention
- Use approved medical necessity criteria to ensure appropriateness of care settings
- Coordinate with payer liaisons to resolve barriers, prevent denials and facilitate timely discharge or alternative care plans
- Maintain awareness of concurrent denials through payer liaison interaction
Requirements
What you’ll need- At least 3 years of RN work experience required
- Experience in case management, critical care, emergency, or home healthcare is a plus
- Graduate from Specialty Training Program-Nursing required
- Basic Life Support Certification
- Licensed Registered Nurse (Pennsylvania)
- Bachelor's Degree-Nursing preferred
- Ability to work Monday through Friday, 8:00 AM to 4:30 PM, with one 10:00 AM to 6:30 PM shift each week, plus rotating weekends and holidays
- Compliance with organization policies, procedures and job-specific obligations
- Ability to work in a clinical and office environment
Benefits
Comp & perks- Medical, dental and vision benefits starting day one
- Three medical plan options, including expanded coverage for out-of-area employees and dependents
- 401(k) with automatic Geisinger contributions
- Generous paid time off
- Up to $5,000 annually in tuition reimbursement
- Company-paid life and disability insurance
- Healthcare and dependent care FSAs and an HSA
- MyHealth Rewards wellness incentives
- Adoption and fertility assistance
- Parental leave pay
- Military leave pay
- Care.com membership
- Employee Assistance Program resources for mental health, work-life needs, legal guidance and caregiving support
- Optional accident, critical illness, hospital indemnity, identity theft, pet care and legal coverage
- Healthcare benefits for full-time and part-time positions from day one, including vision, dental and domestic partners
- Collaborative, cooperative and collegial work atmosphere