Registered Nurse Care Manager - Community Based

Location Community Based (Mifflin County, PA) Job Category RN - Registered Nurse, Nursing and Nursing Support Schedule Days Work Type Full time Department Geisinger at Home Care Management Division Date posted 08/27/2026 Job ID R-05060 Job Summary Join a team dedicated to transforming lives by providing personalized care coordination for patients in our community. 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. Job Duties As a Community-Based RN Care Manager with Geisinger at Home, you'll serve as a trusted advocate for patients navigating healthcare needs. Working closely with physicians, caregivers, and interdisciplinary teams, you'll develop personalized care plans, coordinate resources, and guide patients through their healthcare journey. At least three (3) years of RN work experience is required. The ideal candidate will have prior RN experience within an ED, ICU and/or Case Management. Community Based Nursing (Patient Home Visits) Mifflin County, PA A typical schedule is Monday through Friday, 8:00 am to 4:30 pm with one late day working 10 am to 6:30 pm. Rotating weekends and holidays To learn more about Geisinger at Home: Geisinger at Home | Geisinger Benefits at Geisinger Full benefits (health, dental and vision) starting on day one Three medical plan choices, including an expanded network for out-of-area employees and dependents Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA) Company-paid life insurance, short-term disability, and long-term disability coverage 401(k) plan that includes automatic Geisinger contributions Generous paid time off (PTO) plan that allows you to accrue time quickly Up to $5,000 in tuition reimbursement per calendar year MyHealth Rewards wellness program to improve your health while earning a financial incentive Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more. Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance. Position Details Works with physician and multidisciplinary team members to develop plan of care for each assigned patient from admission through discharge. Ensure patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and evaluations. Assess and respond to patient and family needs by coordinating efforts of other team members. Identifies and resolves barriers that hinder effective patient care. • 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. Responsibilities Education Graduate from Specialty Training Program-Nursing (Required) Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania