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Job Summary:

Job Duties:

• Assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient or member’s health status.
• Manages utilization and practice metrics to further refine the delivery of care models to maximize clinical, quality, and fiscal outcomes.
• Facilitates communication among care managers, social workers, physicians, nurses, patients, and external providers to ensure efficient patient care transitions, timely discharge, and compliance with hospital policies and regulatory requirements.
• Coordinate daily activities for the Case Management team, including scheduling meetings, patient care conferences, and interdisciplinary rounds.
• Assist, educate, and guide care managers and social workers with patient referrals, authorizations, and care transition processes.
• Communicate with internal departments and external agencies regarding patient services and post-acute care arrangements.
• Supervises, orients and trains all assigned personnel, while acting as a resource to answer questions and resolve problems.
• Monitors and maintains accurate Case Management documentation and departmental databases.
• Supports compliance with CMS, Joint Commission, and organizational standards, including but not limited to ensuring patients are offered choice for post-hospital needs.
• Supports quality improvement initiatives and departmental audits.
• Assists with addressing performance problems and initiating the disciplinary process as appropriate.
• Communicates significant issues within the Case Management department to leadership
• Creates and environment of participation, feedback, and escalation pathway.

Work is typically performed in a clinical environment. Accountable to satisfy all job specific obligations and comply with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent elements considered necessary to successfully perform 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.

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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, 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.