[Hiring] RN Manager - Care Management @Providence

Role Description

The Manager of Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management program in the Southern California Region. The Manager assists the Regional Director of Utilization Management, Appeals & Clinical Training through the provision of ongoing assessment and evaluation of hospital activities related to patient admission, transfers, and discharges in a variety of clinical settings. Accomplishes results through multiple experienced individual staff members who exercise latitude and independence in their assignments. Fosters team collaboration, sharing of workload and enhanced productivity.

Qualifications

• Bachelor's Degree in Nursing or other related area
• Upon hire: California Registered Nurse License
• 5 years healthcare management experience related to acute care utilization management or appeals management.

Requirements

• Master's Degree in Nursing or other related area (preferred)
• Coursework/Training: Case Management Certification (preferred)
• Minimum of two years direct patient care experience in an acute care setting (preferred)
• Previous experience working with denials and appeals in/for an acute care setting (preferred)
• Previous experience working with a remote UR team (preferred)
• Previous experience as a case manager in an acute care setting (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
• Additional compensation may be available (shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities)