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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient evaluation, care coordination, and outreach within a healthcare setting, with a strong focus on communication and organizational skills. Proficient in managing patient needs and collaborating with interdisciplinary teams to ensure effective care delivery.
Highest-signal resume keywords
Licensed Registered NurseNursing ExperiencePatient OutreachCare CoordinationCommunication Skills
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 EvaluationMedical Record ReviewCare Team CoordinationEnrollment DocumentationAcute Care Assessment
Soft Skills
Interpersonal CommunicationOrganizing SkillsTime ManagementGroup Problem-SolvingCommunication Skills
Tools & Technologies
Designated Software for Reporting
Certifications & Qualifications
Licensed Registered Nurse in Pennsylvania
Industry Keywords
Case Management ProgramHome-Based Medical CareCommunity Palliative CareMobile Integrated HealthInterdisciplinary Team Meetings
About the role
Key responsibilities & impact- Screen potential new enrollees and evaluate and coordinate them to the appropriate Case Management Program
- Assist Case Team Staff with outreach activities supporting care initiatives across the care continuum
- Create support materials regarding program purpose, goals, objectives and deliverables with leadership
- Meet with Geisinger and community physicians to share program details
- Identify patients for recruitment and review them with primary and specialty care providers
- Complete patient outreach and formal evaluations to determine needs and enrollment eligibility
- Review medical records, including laboratory and radiology reports
- Discuss care needs with primary and specialty care providers
- Interview patients and families regarding in-home care needs and behavioral or social gaps
- Visit patients and families at home, hospitals or nursing homes for program recruitment
- Segment patients to the appropriate home-based medical, community palliative care or mobile integrated health team
- Provide formal handoffs and schedule first care-team visits
- Maintain relationships with County Area Agency on Aging and County Assistance Office delegates
- Communicate with referral sources to complete intake records
- Complete follow-up communication and enrollment correspondence
- Support triage phone service for acute care calls
- Assess acute care needs, manage immediate gaps and identify required resources
- Activate the appropriate care team based on acuity
- Participate in weekly interdisciplinary team meetings
- Identify patterns supporting plan-of-care adjustments
- Maintain enrollment documentation in designated software for mandatory state statistical reporting
- Assist administrative staff with reporting requirements
Requirements
What you’ll need- Graduate from Specialty Training Program-Nursing (Required)
- Minimum of 1 year nursing experience (Required)
- Licensed Registered Nurse in Pennsylvania (Required)
- Communication skills
- Group problem-solving skills
- Interpersonal communication skills
- Organizing skills
- Time management skills
- Ability to work Monday through Friday, four 10-hour shifts (7:00 am to 5:30 pm)
- Rotational every other weekend and every other holiday
Benefits
Comp & perks- Healthcare benefits for full-time and part-time positions from day one
- Vision benefits
- Dental benefits
- Domestic partner benefits
- Potential for hybrid work from home flexibility
- Atmosphere of collaboration, cooperation and collegiality