Registered Nurse Care Manager – Community Based

Geisinger

RN Care Manager delivering patient-centered care to Geisinger Health Plan’s most complex members. Collaborating with a care team to implement individualized care plans in a home-based setting.

Posted 4/22/2026full-timePittston • Pennsylvania • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Play a vital role in delivering patient-centered care to Geisinger Health Plan’s most complex members in a home-based setting
Work collaboratively with physicians, nurses, and an interdisciplinary care team to assess, plan, and implement individualized care plans that promote optimal health outcomes
Coordinate efforts of other team members to assess and respond to patient and family needs
Identify and resolve barriers that hinder effective patient care
Complete appropriate federal, state and local forms
Ensure adherence to quality standards and participate 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 enter data as requested and appropriate for role, to support quality improvement initiatives into appropriate system
Conduct on-going case review for delays or variances in care; raises issues with appropriate department, attending physician and physician designee
Use approved medical necessity criteria as a tool to ensure that patients meet appropriateness of the setting
Actively involve payer liaison role in any case that has potential of not meeting medical necessity guidelines.

Requirements

What you’ll need

At least (3) years of RN work experience is required
Prior nursing experience in an Emergency Department, ICU or Home Health environment is preferred but not required
Graduate from Specialty Training Program-Nursing (Required)
Bachelor's Degree-Healthcare Related Degree (Preferred)
Basic Life Support Certification - Default Issuing BodyDefault Issuing Body
Licensed Registered Nurse (Pennsylvania) - RN_State of PennsylvaniaRN_State of Pennsylvania
Skills: Acts Decisively, Care Management Knowledge, Communication, Interpersonal Communication, Multitasking, Organizing, Teamwork

Benefits

Comp & perks

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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

nursingcare managementcase reviewquality monitoringmedical record reviewmedical necessity criteria

Soft Skills

communicationinterpersonal communicationmultitaskingorganizingteamworkdecisiveness

Certifications

Licensed Registered Nurse (Pennsylvania)Basic Life Support Certification