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JOB TITLE: Case Manager, Registered Nurse
LOCATION: Geisinger Medical Center
DEPARTMENT: Geisinger Health Plan- Post Acute Care
WORK SCHEDULE: Days/Evenings
WORK TYPE: Full Time
Works under the supervision of the Regional Manager and Director, Case Management.
Serves in an expanded nursing role to collaborate with Skilled Nursing Facilities, and the Medical Home team to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services. Assesses Members needs in collaboration with Skilled Nursing Facilities, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the members health status and promoting safe transitions of care. Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare.
Develops systems of care that monitor member progress and promote early intervention in acute care situations. Works effectively with other members of the health care team to optimize interventions.
Manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes for the population.
Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals.
Demonstrates ability to work autonomously and be directly accountable for practice.
Demonstrates ability to influence and negotiate individual and group decision-making.
Demonstrates ability to function effectively in a fluid, dynamic, and rapidly changing environment.
Demonstrates leadership qualities including time management, verbal and written communication skills, listening skills, problem solving and decision-making, priority setting, work delegation and work organization.
RN license or eligible for licensure in the state of Pennsylvania required. Bachelor's degree in health care preferred. Case Manager Certification preferred.
Three to five years experience in clinical nursing, case management, and managing Medicare patients required. Knowledge of the basic concepts and principles of managed care required.
Experience in nursing home care/management.
Critical thinking skills and ability to analyze complex data sets required. General computer knowledge and capability to use computers required.
Obtain Case Management Certification within 3 years.
Work is typically performed in an office environment.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
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.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of 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, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.


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Show catalogue record
Kash's Bag & Blanket
Kash Rajani used this bag
to carry his things
when he lived in Thornton Heath
in 1993.
He moved to the hostel in Croydon
because he left his job
in Ealing
and became homeless.
The blanket was a gift
as Kash was cold at night.
Kash Rajani
0 mins 0 secs
Kash Rajani
Kash Rajani was homeless
in the early 1990s:
"After finishing work,
I couldn't keep up with the rent
and I ended up
at a hostel in Hammersmith.
That was terrible,
it was a dustbin,
very grotty.
I couldn't go for accountancy jobs
because I didn't have an address,
so I looked for live in work."
"Things were tough,
but they're picking up now,
picking up.
I'm going to apply to Tesco's
for some night work,
filling the shelves
- you know,
high powered stuff."
Being Homeless
In the early 1990s
numbers of homeless people in Croydon
increased sharply.
Many people became homeless
because they had lost their jobs.
Britain's economic situation
was very bad.
The government
increased interest rates on loans.
Businesses were struggling to survive
and often employees were made redundant.
Despite Kash's qualifications
and his work experience
he could not find
another job for a long time.
Find out more
To find out more about
the homeless charity Shelter

subset: commoncrawl


text:
Abuse isn't just about bruises. Not all forms of abuse leave bruises where we can see them,Outpatient Substance Abuse Near Me in 2018 . Although physical abuse is terrifying and needs to be addressed immediately there are other forms of abuse that can cause significant damage. One type of abuse that is very difficult for outsiders to detect is financial abuse. Marriage should be a partnership but when one spouse completely dominates the finances to the point that the other spouse has no control and no options financial abuse may be occurring.
What Are Signs of Potential Financial Abuse?
Every married couple handles their finances differently. In some cases one spouse handles the majority of the finances. They manage the accounts, pay the bills and deal with creditors. That does not by itself equal financial abuse.
Financial abuse occurs when one spouse is treated like an irresponsible child and Domestic Violence Guns . They are cut off from funds and their knowledge about the couple's finances is severely limited. Some signs of financial abuse include:
•Strict Allowances. This isn't an amount that the spouses have agreed to limit themselves to but is instead a set amount that is grudgingly handed out from one spouse to the other and is all that will be given.
Documents, documents, documents. Written evidence is incredibly strong and can range from credit card bills showing that there is a credit card but that you aren't named on it to emails from your spouse that show the financial abuse.
Other witnesses can be incredibly powerful on your behalf. Financial abuse is hard for people outside the relationship to detect. So when someone credible comes in and tells the judge that it is happening and they can see it the judge will listen and Domestic Violence Facts .
Outpatient Substance Abuse Near Me in 2018 ?
Domestic/family abuse can have many forms, including physical violence, sexual abuse, emotional abuse, intimidation, economic deprivation, and threats of violence. Abuse is typically progressive; oftentimes emotional and psychological abuse is a precursor for violent and criminal forms. According to the US Department of Justice's 2005 Family Violence Statistics report, family violence accounted for 11% of all reported and unreported violence between 1998 and 2002, totaling a staggering 3.5 million violent crimes. The report indicates 49% were crimes against spouses, 11% were sons or daughters victimized by a parent, and 41% were crimes against other family members.
Domestic violence and abuse does not discriminate, it occurs in all cultures; people of all races, ethnicities, religions, sexes and classes can be perpetrators or victims of this violence. Yet, research indicates that certain demographics and subgroups are more prominent as victims and as offenders. For example, according to the American Medical Association, as many as 1 in 3 women will experience domestic violence in their lifetime as compared to 15% of victims being men.
With family violence also comes the intergenerational cycle of violence. In 1 in 3 domestic violence incidents, the victims had children in common with the offender, and in 1 in 4 incidents, there were multiple victims. Children and youth exposed to violence are likely to develop behavioral problems, such as regressing, exhibiting out of control behavior, and other behaviors that mirror those which they were exposed. Unfortunately, this cycle produces children who may think that violence is an acceptable behavior of intimate relationships and thus, become either the abused or the abuser. An estimated 1/5 to 1/3 of teen-aged youth subject to viewing domestic violence situations experience teen dating and intimate partner violence, regularly abusing or being abused by their partners verbally, mentally, emotionally, sexually and/or physically. Hence, the average age of the abused and the abuser as it relates to juvenile domestic violence is 16. Family violence research indicates that juvenile domestic violence offenders are more likely to be male; approximately 90% of this violence is targeted towards women. If not prevented or addressed, youth continue the cycle into adulthood; 30-50% of dating relationships can exhibit the same cycle of escalating violence in their marital relationships.
This cycle must be broken. One solution is to address the significant need for family violence abuse prevention and intervention treatment specifically targeting violence and abuse saturated areas. Thankfully there are several organizations with this mission in mind as well as funding available to aid this undertaking, giving hope for domestic violence reduction in our future.
What Is Real Reasons For Domestic Violence?
Good self-esteem or positive identity is an asset to any person. It helps improve relationships, confidence, job performance and makes it easier to enjoy and embrace life to the fullest. When a person has been abused, their good self-esteem is threatened and often lost. Understanding how this happens and knowing practical ways to deal with it can be valuable tools in our self-help toolbox!
Each of us is born with the gift of individual person-hood. Our unique genetic make-up and DNA set us apart from all others. We have boundaries that help us to know where we stop and where others start. Inside of these boundaries and within the context of our individual person-hood, we are free to grow, to question, to risk, to explore and to experience life in our own unique way! If allowed to continue and encouraged from those closest to us, we become comfortable in our own skin (within our own boundaries) and a positive identity develops.
Abuse is an invasion of those boundaries; an attack on our individual person-hood. Abuse happens when someone stronger than ourselves overpowers us, either emotionally, physically, verbally or sexually. Even if the abuse is not "severe" in comparison to what others have experienced, the impact on our self-esteem can be severe. The boundaries between us and the perpetrator are blurred. We tend to own some or all of the blame for the abuse and thus take on what rightfully belongs to the invader. With our boundaries destroyed and our person-hood invaded, we are left vulnerable to the world around us and confused about who we really are.
A common reaction to the invasion of abuse is withdrawal. Sometimes the victim will withdraw so far that they actually dissociate from the event completely. This may be good in the long run except for the fact that the dissociation almost always involves other emotions, longings, fears and identity markers that can no longer be accessed. People who are extremely shy and introverted, people who are emotionally shut down and people who lack in social graces are often (not always) reacting to some kind of abuse. The invasion has left them afraid to feel, afraid to connect and afraid to make a mistake.
Another reaction to the invasion of abuse is an attempt to build a wall of defense. The feeling of vulnerability is countered by erecting some kind of wall that we believe will protect us. We can become very angry and keep others at arms length by our temper. We can become very controlling and thus minimize the possibility of future hurt. We can become very sarcastic or funny to deflect our real feelings. We can become an overachiever so that others will identify us by our accomplishments and not by our fears. These walls feel protective but are actually putting us in bondage. We cannot do life without our anger, control, sarcasm, humor or achievements so we are not free to be who we really are... we are forced to keep up the act... and that is exhausting.
This second reaction was my own way of dealing with childhood sexual abuse. I kept the walls firmly in place from age 11 until age 35. At that point, exhausted from trying to keep myself safe, I attempted suicide, not out of despair as much as out of exhaustion!
When we react in either of these ways to abuse, we end up losing ourselves, our true identity, our positive identity or self-esteem. There is another way. From my own experience I have learned the power of these positive and practical steps that can lead us out of brokenness and into confidence in who we really are. Consider the following:
1) Be honest about our abuse.
We cannot properly deal with all of the feelings and reactions associated with our abuse if we refuse to face what actually happened. As with any recovery program, admitting the problem is the beginning of healing.
2) Forgive those who hurt us.
Holding on to the anger, hatred, malice or even ambivalence toward our abuser only keeps us tied to them and to the abuse and its consequences. Forgiveness does not mean that you are saying it was no big deal. It is not saying that you would let them hurt you again. It is not saying that it did not happen. Forgiveness is simply a choice to release them after coming to the conclusion that there is nothing they could do that would take away what happened to us.
3) Surrender our coping mechanisms.
Just as we have to be honest about our abuse, we have to be honest about all of the ways that we have developed to try to help ourselves cope with the abuse. What walls have we erected? What masks have we put on to hide from others? What self-medicating habits have we picked up? Name these coping mechanisms and then willingly lay them down. We may need to invite a few people who are close to us into this process since we often have blind spots related to coping.
4) Embrace the truth about who we really are.
Learn to look beyond what happened to us to the person we really are on the inside. At this point, having a relationship with God is a key factor. If we have become connected with our Creator through the sacrifice of His Son Christ Jesus, we get our true identity from Him. We are His sons and daughter, regardless of our abuse, achievements, failures or coping mechanisms.
5) Join a safe community.
At this point, with walls torn down and feelings exposed, belonging to a community where we feel safe is vital. A support group, home group, counselor or accountability group can provide a place for us to grow in our new positive identity. People who know our need for healing and encouragement will be a great help in this process of rebuilding.
Commit with me not to allow past abuse in our lives to rob us of our positive identity. Choose life!


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This heart healthy, one-dish meal is made with lean top round beef, lots of vegetables, and a spicy, herb mixture.
Nutrition Facts
Ingredients and Preparation
- Partially freeze beef. Thinly slice across the grain into long strips 1/8 inch thick and 3 inches wide.
- Combine paprika, oregano, chili powder, garlic powder, black pepper, red pepper, and dry mustard. Coat strips of meat with the spice mixture.
- Spray a large heavy skillet with nonstick spray coating. Preheat pan over high heat.
- Add meat; cook, stirring for 5 minutes.
- Add potatoes, onion, broth, and garlic. Cook covered, over medium heat for 20 minutes.
- Stir in carrots, lay greens over top, and cook, covered, until carrots are tender, about 15 minutes.
- Serve in large serving bowl with crusty bread for dunking.


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Get Your Own Free Classifieds Site!
Welcome to the Classifieds Network
The Classifieds Network is the first and only service that allows you to easily and instantly create and maintain your own classified ads web site, which you can use as either a standalone web site or as a classifieds section for your existing site, all for free. It's easy! Just follow our simple online forms to set up your classifieds site. Once you have created your classifieds site, you can customize it to have your own "look and feel", create your own categories, set various configuration options, and manage your site, all through a simple point-and-click interface. No CGI programming or software installation is necessary. What's more, it's all FREE! Why not join now!
We are pleased to offer this service at no cost to you. However, if you need a high quality classified ads program that contains more features, such as the ability to charge users via credit card who post ads on your system, you may want to take a look at e-Classifieds®, which is the world's most powerful and popular suite of classified ads software programs for web sites. In use at hundreds of thousands of web sites, including those of many Fortune 500 companies, e-Classifieds® is available in both on-demand and distributed formats. For web hosting, we recommend Hagen Hosting.


text: We bumped into Larry Weber, the shaggy professor mainly responsible for the invention of the plasma TV in the 1960s. He's got a lot to say about his latest project, mostly too technical for our hurting little brains. Here's the skinny: He wants to improve notoriously inefficient plasma energy use to a point that it drains a battery less than the LED light source in an LCD does. Pair that with super-thin plasma technology, and voila—plasma-screen MacBook Pro anyone? We were just kidding about that whole "saving Middle Earth" business...or were we? [Larry Weber's Society for Information Display]


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Top 5 Designated Hitters of All Time
Happy Birthday, DH!
Today marks the 40th anniversary of the Designated Hitter position when the American League adopted the rule in 1973. Whether you love it or hate it, there have been some baseball greats to fill this role beautifully.
DH might be over-the-hill, but he's having a party and these guys are on the VIP list:
5. Harold BainesBaines played for five different American League teams over his career and is now the assistant hitting coach for the Chicago White Sox. He currently holds the record for the most games as a DH at 1,652 and is a six-time All-Star.
4. David Ortiz
Big Papi is currently in his 17th MLB season and has eight All-Star appearances, five Silver Slugger Awards and two World Series championships under his belt. He's also in the 50 home run club with his 54 home runs in 2006.
3. Frank Thomas
Thomas "The Big Hurt" hit over 500 home runs in his career joining other legends like Willie Mays, Reggie Jackson and Ken Griffey, Jr. He also won two Silver Slugger Awards as a DH.
2. Paul Molitor
Molitor is a Hall of Famer who spent close to half of his career as a DH. He is the only player with at least a .300 lifetime batting average, 3,000 hits, 500 stolen bases and 200 home runs.
1. Edgar Martinez
The Mariners legend is the only DH to win a batting title with a .356 batting average in 1995. Oh, and the Designated Hitter award is named after him, so have yourself some cake.
Who's your pick? Comment below.


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Last weekend Raiders defensive tackle Tommy Kelly called Cardinals quarterback Kevin Kolb "scared" and "skittish."
Kolb fired back, but after a few days for things to settle, the reviews aren't getting any better for the free agent flop, with the latest bruise to his ego coming from his own side.
Former Cardinals quarterback Kurt Warner said he was concerned about the lack of progress from Kolb, and wonders if he has the confidence in himself to succeed.
"I see the same thing I saw last year," Warner told Dan Bickley of the Arizona Republic. "I see a guy who hasn't been able to grasp the system enough to slow the game down, or he doesn't have confidence in what he's seeing.
"Maybe he understands what the offense is asking him to do, but the game is going too fast, and he's not pulling the trigger."
That may actually sting more than Kelly questioning his courage, because Warner has no reason to disparage Kolb at a personal level.
Bickley does suggest that Warner was getting texts asking him to come out of retirement after the latest game, but Warner said it was tough understanding Kolb's lack of success.
"I've been in games when it's hard to get the game to slow down, and it's not a fun place to be," Warner said. "Everything looks like a jumbled mess. Sometimes you're nervous, sometimes you're anxious.
"When I watch him on film, it looks like he's looking in the right spots. But that doesn't mean he's seeing it, or that he's seeing what I'm seeing. But he's looking at it and not letting the ball go. What's causing that?"
The momentum seems to be building for John Skelton to start, and no offense to the former fifth-rounder from Fordham, but his promotion has as much to do with him being not Kolb as anything he's done.
That makes Kolb nothing short of an embarrassing and expensive blunder, one that's going to take the Cardinals years to recover from.


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Max Wade, the alleged motorcycle hitman and Lamborghini thief, had a criminal reputation even before his much-publicized arrest last weekend, authorities said Wednesday.
In fact, the 17-year-old San Rafael boy was already being prosecuted on charges he broke into a vacant hilltop mansion in Tiburon, pretended he lived there and hosted a drinking bash there for dozens of teenagers.
Wade, who was raised in Tiburon, allegedly told guests that the four-bedroom rental home on Sugarloaf Drive was his own house, said Tiburon police Officer Justin Kurland, who broke up the Feb. 3 party.
"He was showing people rooms," Kurland said.
Police arrived at 9 p.m., about half an hour after the party started, and found the floors and carpets damaged by some 50 teenage revelers. Wade fled just as police arrived. The case was sent to the district attorney's office for charges.
Police had other prior interactions with Wade, including one case where he allegedly stole his mother's car and repainted it, and another where he allegedly head-butted a fellow student during a dodgeball game in gym class at Redwood High School, sources said.
Wade had a juvenile court appearance in the Tiburon case last week at the Civic Center. By then, he had been identified as the suspected motorcycle gunman who blasted an occupied truck on April 13 in Mill Valley, but investigators were unsure where he was staying.
As Wade was walking through the courthouse for his hearing, a sheriff's investigator happened to spot him in the corridor. Detectives tailed him to a home on Marina Boulevard in San Rafael, where he was apparently staying with an associate, an investigator said. The home of Wade's parents is elsewhere in San Rafael.
Sheriff's investigators placed the Marina Boulevard house under surveillance. On Saturday, an investigator saw Wade leave the home in a black Ford Crown Victoria and followed him to a Richmond storage facility, authorities said.
That led to a search of the storage unit, where investigators found a motorcycle and a handgun Wade is suspected of using in the Mill Valley shooting, according to court documents.
Moreover, investigators found assault weapons, ammunition, a San Francisco police uniform and badge, a list of police scanner frequencies, fake IDs for three states, equipment for jamming radio and cell signals — and a yellow 2008 Lamborghini Gallardo Spyder belonging to Guy Fieri, a Bay Area restaurateur and Food Network host. The $200,000 Lamborghini was stolen from a San Francisco dealership last year after someone broke into the building through the roof and rappelled to the floor, police said.
The sheriff's department is still investigating the motive for the Mill Valley shooting, which allegedly targeted a 18-year-old man and a 17-year-old girl in the truck. They ducked and were able to avoid the five rounds that hit the pickup.
Wade was charged as an adult Tuesday on counts of attempted murder, shooting at an occupied vehicle, commercial burglary, vehicle theft and receiving stolen property, the district attorney's office said. He could face more than 30 years in prison.
Wade, who has not entered a plea, remains in custody at Juvenile Hall in lieu of $2 million bail. He returns to court May 10 with his lawyer, Charles Dresow.
Contact Gary Klien via email at firstname.lastname@example.com


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By: Lisa Regula Meyer
I was up in Ithaca this weekend camping. We went to celebrate E's first birthday with her Daddy, Papa, family, and friends. To say that I was tickled and honored to be a part of this would be the understatement of the year. At the same time, I was hideously anxious. Here I was -some girl from Ohio, backwards as it may be- meeting fancy family members of my dear friends from Long Island, New York at a birthday party for a gorgeous little girl thrown by her parents – a brilliant scientist and his husband (whose talents rival Martha Stewart). Might as well ask a snail to tea with the Queen Mum, for the mix of emotions I had leading up to the event!
But lo and behold, the day of the party came, and I was surrounded by normal human beings. Not elves from Rivendell. Not fairies from the English countryside. Not angels from the Sistine chapel. Just regular folk, like my husband and me. I'm not sure if that was better or worse than my fears.
Here were people close to my IFs that were congenial, kind, accepting, and totally honest. They were thankful and gracious- not just E's grandma, but random friends of my IFs were saying thank you for this little girl, and there was no secrecy or shyness or gentle misdirection. E's family members were referring to me as "birth mom" and "mommy." They left saying that they want to see us again. We were talking about everyday, normal things from parenting to politics and everything in between. We got along fine, and I didn't have a panic or heart attack, so I really couldn't ask for anything more. Maybe snails can pull off high tea all right, after all.
What made this all so exciting for me (besides two boys loving their little girl, and my two boys in the same place and having such a good time) was the utter genuineness.
We all want to normalize non-mainstream families. Families created via surrogacy, gamete donation, IVF, adoption, and other means are just as legitimate, valid, and worthy of protection and respect as families created through plain old-fashioned, well-timed sex (or a drunken night out). I think everyone reading this blog knows that already, but the fact that I have to say this- and I know some people in the world need this reminder- means that we still have work to do.
One in six couples will have some form of fertility issue pop up while trying to conceive, and there are plenty of non-couples (i.e. singles) who also want to be parents, with or without a partner. That means that there's a large portion of families that needs to hear that they're perfectly normal.
The best way we do that- in my mind- is to talk about it. No more hushed whispers around why Junior has such dark hair. No more "hiding" in the late stages of pregnancy (yes, I've heard of families formed by adoptive and surrogate means that included this line). No more not discussing the issues of what it took to be where we are today. Kids deserve honesty. Parents deserve to be carefree. Families deserve equality, because after all, it isn't the mechanism of origin that defines a family, but the love that it shares with all its members. We learned this from the LGBTQ community- silence is not an option. Speaking out and being someone that is associated with these things helps everyone to realize their own privilege and prejudice.
Now if you'll excuse me, I still have a blanket and a journal to finish before I send it off with the sky lanterns (I know, bad birth-mama). At least I got the tool set and denim overalls delivered on time to scare the Long Island family members at Sunday brunch.


text:
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Greensborough Cycles
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Anyway, I was really disappointed with the service and even though it is around the corner from home, I'll be going elsewhere from now on as my experiences are getting worse and worse each time I have returned. More fool me for actually giving them more than one chance."
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