[Hiring] Care Manager RN - Case Management @Providence

Role Description

Manages specific patients throughout their admission to ensure the availability of sufficient clinical and medical center resources. Communicates on a daily basis with medical staff, medical center personnel and outside resources to ensure the appropriate utilization of resources according to clinical and financial standards. Monitors the medical record for variances to clinical and financial standards and intervenes to achieve the optimum outcome for the patient and the medical center.

• Incorporates risk management and infection control knowledge to assist the healthcare team in achieving desired outcomes.
• Identifies issues that expose the organization to liability and financial risk, collaborating with management, medical staff, and medical center personnel to minimize risk.
• Provides payor/utilization review organizations with concurrent retrospective utilization review required for reimbursement.

Qualifications

• Coursework/Training: Environmental Orientation due within 30 days of hire.
• Coursework/Training: Case Management Competency due within 90 days of hire.
• Coursework/Training: General Nurse Competency due within 30 days of hire.
• California Registered Nurse License upon hire.
• 2 years of Acute nursing experience, with evidence of progressive clinical experience preferred, or case management experience.

Requirements

• Bachelor’s Degree in Nursing upon hire, must obtain BSN within 3 years of date of hire (preferred).
• CCM upon hire (preferred).
• 3 years of Acute nursing experience, with evidence of progressive clinical experience preferred, or case management experience (preferred).

Benefits

• Comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching.
• Health care benefits (medical, dental, vision).
• Life insurance and disability insurance.
• Time off benefits (paid parental leave, vacations, holidays, health issues).
• Voluntary benefits and well-being resources.