RN - Registered Nurse - Intake Coordinator - Hospital at Home

• A typical schedule is Monday through Friday 7 am to 5:30 pm or 7 am to 7:30 pm; rotational every other weekend and every other holiday

• This role is office based and located out of Geisinger's Hughes Center in Danville, PA.

• At least one year of RN work experience is required.

• 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.

• Works with leadership to create appropriate support materials regarding program purpose, goals and objectives and deliverables.
• Meets with physicians across both Geisinger and the community to share details on the program.
• Identifies patients for recruitment and reviews with the appropriate primary and specialty care providers.
• Completes patient outreach and formal evaluation of all potential enrollees for the program to determine participant needs and eligibility for enrollment.
• Completes thorough review of all medical records including laboratory and radiology reports.
• Discusses care needs with primary or specialty care providers as needed.
• Interviews patient and family for in-home care needs as well as other behavioral or social gaps.
• Visits patients and families in their homes, at the hospital or nursing home for recruitment into program.
• Segments patients to the appropriate care team including home based medical team, community palliative care team or mobile integrated health team.
• Provides formal handoff to the appropriate care team.
• Schedules first visit with care team.
• Establishes and maintains an effective working relationship with County Area Agency on Aging and County Assistance Office delegates to provide a streamlined enrollment application process for Community Resources.
• Communicates with referral sources including physician offices, hospital discharge planning, and other community agencies for follow up in completion of the intake record.
• Provides follow up communication and correspondence to complete the enrollment process.
• Supports triage phone service taking acute care calls from patients and families or other care providers.
• Effectively assess acute care need.
• Manages gaps if able immediately.
• Identifies resources needed to respond to acute care need.
• Activates the correct care team or 9 as indicated by acuity of acute care need.
• Participates in weekly IDT meetings being prepared to share acute care activities for appropriate patients.
• Identified patterns to help the care team in Plan of Care adjustments.
• Maintains documentation of enrollment process, including prospective participants within designed software programs as necessary to complete mandatory state statistical reporting functions.
• Assists Administrative staff with completion of reporting requirements.

At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 1 ... 3 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.

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