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Supervisor Care Management RN
4 months ago
The Supervisor Care Management RN is responsible for the supervision of case management (CM) and utilization management (UM) functions of US Family Health Plan to achieve cost-effective utilization of resources. This is accomplished through the proactive coordination of services to move patients efficiently through the continuum of care and ensure referrals are reviewed and processed in a timely manner. It includes timely review of medical necessity and authorization for all admitted patients and outpatient referral requests. Responsible for ensuring accurate and consistent application of and adherence to TRICARE policy guidelines, other regulations and department policies and procedures. This position is responsible for staff schedules; oversees and supervises all areas of department operations. Works collaboratively and proactively with Director of Operations and USFHP Medical Director(s) to develop and implement strategic case management and utilization management yearly goals.
The Supervisor Care Management RN demonstrates Pacific Medical Centers' core values of integrity, compassion, stewardship and respect, providing exceptional customer service and high quality service in the performance of work assignments and duties. Gives on-the-job direction including appropriate delegation, input and coaching to assigned members of team.
Providence caregivers are not simply valued - they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
* Nursing (must be RN) and
* Upon hire: Washington Registered Nurse License
* Upon hire: National Provider BLS - American Heart Association
* 5 years Clinical experience
Preferred Qualifications:
* Bachelor's Degree in Nursing
* Acute inpatient, skilled nursing facility, home health or community health nursing including care management, care coordination, discharge planning
* 1 year Supervisory experience
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our mission to advocate, educate and provide extraordinary care.
