RN Care Manager

2 weeks ago


Centralia, United States Providence Service Full time

Description

The Utilization Review RN provides assessment and analytical support to concurrent and retrospective quality and utilization activities, in accordance with the Providence Hospital Quality and Utilization Plans, Medicare regulations, The Joint Commission regulations, guidelines and direction received from Administration and the Medical Staff. Works as a catalyst to promote coordination of care, continuity of care in the achievement of consistent and/or expected clinical conditions and is a patient advocate in utilization of efficient resource management. Coordinates the care for complex patients from pre-admission to immediate post-discharge. Participates in facilitating coordination and communication between all members of the health care team, in the decision making process to minimize fragmentation of the care delivery system and prevent hospital readmissions. The Utilization Review RN assists the health system in assuring financial viability by performing comprehensive medical reviews utilizing appropriateness criteria and interpreting implication of clinical status / medical treatment plan with current federal regulations guidelines; thereby facilitating accurate and timely billing process and payment, consistent with regulatory requirements.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Centralia Hospital 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:

  • Associate's Degree in Nursing.

  • Upon hire: Washington Registered Nurse License.

  • 3 years Medical-surgical (or comparable acute care) nursing experience.

Preferred Qualifications:

  • Bachelor's Degree in Nursing or health-related field or equivalent educ/experience.

  • 1 year Recent acute care experience.

  • Quality and/or utilization review and/or case management experience.

  • Microsoft Office (Word and Excel) 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 of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

About the Team

Providence has been serving the Pacific Northwest since 1856 when Mother Joseph and four other Sisters of Providence arrived in Vancouver, Washington Territory. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In western Washington, Providence provides care throughout the greater Puget Sound from Snohomish County to Lewis County.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 328067
Company: Providence Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 3033 UTILIZATION REVIEW WA PCH CENTRALIA HOSPITAL
Address: WA Centralia 914 S Scheuber Rd
Work Location: Centralia Hospital-Centralia
Workplace Type: On-site
Pay Range: $45.22 - $71.58
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.



  • Centralia, United States Assured Home Health & Hospice Full time

    We are hiring for a RN Patient Care Manager with Home Health experience for our Centralia, WA location! $95000 - $115000 / year At Assured Home Health a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we...

  • RN Care Manager

    2 weeks ago


    Centralia, United States Providence Careers Full time

    Description The RN Care Manager works as a catalyst to promote 1) coordination of care, 2) continuity of care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. The RN Care Manager coordinates the care for complex patients from pre-admission to immediate post-discharge. Works...

  • RN Care Manager

    2 months ago


    Centralia, United States Providence Full time

    Description The RN Care Manager works as a catalyst to promote 1) coordination of care, 2) continuity of care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. The RN Care Manager coordinates the care for complex patients from pre-admission to immediate post-discharge. Works...

  • RN Care Manager

    2 months ago


    Centralia, United States Providence Full time

    Description The RN Care Manager works as a catalyst to promote 1) coordination of care, 2) continuity of care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. The RN Care Manager coordinates the care for complex patients from pre-admission to immediate post-discharge. Works...

  • RN Care Manager

    3 weeks ago


    Centralia, United States Providence Service Full time

    Description The RN Care Manager works as a catalyst to promote 1) coordination of care, 2) continuity of care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. The RN Care Manager coordinates the care for complex patients from pre-admission to immediate post-discharge....

  • RN Care Manager

    1 week ago


    Centralia, United States Providence Full time

    Description The Utilization Review RN provides assessment and analytical support to concurrent and retrospective quality and utilization activities, in accordance with the Providence Hospital Quality and Utilization Plans, Medicare regulations, The Joint Commission regulations, guidelines and direction received from Administration and the Medical...

  • RN Care Manager

    2 weeks ago


    Centralia, United States Providence Full time

    Description The Utilization Review RN provides assessment and analytical support to concurrent and retrospective quality and utilization activities, in accordance with the Providence Hospital Quality and Utilization Plans, Medicare regulations, The Joint Commission regulations, guidelines and direction received from Administration and the Medical...

  • RN Care Manager

    4 weeks ago


    Centralia, Washington, United States Providence Health & Service Full time

    About the RoleThe RN Care Manager plays a vital role in promoting coordination of care, continuity of care, and achievement of consistent and/or expected clinical conditions. This position works collaboratively with inter-disciplinary teams to improve patient care through effective utilization and monitoring of healthcare resources.Key...


  • Centralia, Washington, United States Caldera Care Full time

    About UsAt Caldera Care, we strive to create a warm and welcoming environment that feels like home for our residents.We take pride in providing top-notch care, delivering the highest standards of excellence. Our team of compassionate employees is dedicated to ensuring our residents feel heard and valued.We believe that the key to this is through our...


  • Centralia, Washington, United States Assured Home Health and Hospice Full time

    We are seeking a skilled RN Patient Care Manager to join our team at Assured Home Health and Hospice. As a Patient Care Manager, you will be responsible for the supervision and coordination of clinical services, providing and directing provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws,...


  • Centralia, United States LHC Group Full time

    Job DescriptionWe are hiring for a Patient Care Manager in Hospice. Salary: $45 - $65 (depending on experience)At Assured Hospice of Centralia, a part of LHC Group, the RN Patient Care Manager/Clinical Manager we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families,...

  • Registered Nurse

    3 weeks ago


    Centralia, United States Caldera Care Full time

    About Us At Three Rivers Care (a Caldera Care facility), we are dedicated to creating a warm and welcoming environment that feels like home. Our commitment to our residents is exemplified by our team of compassionate employees. We take pride in providing top-notch care, delivering the highest standards of excellence. When a loved one comes to our facility,...


  • Centralia, United States LHC Group Full time

    Job Description We are hiring for a Patient Care Manager in Hospice. Salary: $45 - $65 (depending on experience) At Assured Hospice of Centralia, a part of LHC Group, the RN Patient Care Manager/Clinical Manager we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families,...


  • Centralia, Washington, United States LHC Group Full time

    We are seeking a skilled RN to fill the role of Patient Care Manager in our Hospice department. As a key member of our team, you will be responsible for ensuring the delivery of safe and efficient patient care, adhering to relevant standards of accepted nursing, regulatory, medical practice, and payer source criteria.ResponsibilitiesComply with hospice...

  • RN Care Manager

    2 months ago


    Centralia, WA, United States Providence Full time

    Description The RN Care Manager works as a catalyst to promote 1) coordination of care, 2) continuity of care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. The RN Care Manager coordinates the care for complex patients from pre-admission to immediate post-discharge. Works...

  • Patient Care Manager

    4 weeks ago


    Centralia, Washington, United States LHC Group Full time

    LHC Group is seeking a highly skilled Patient Care Manager - Hospice to join our team. This role is responsible for ensuring the delivery of safe and efficient patient care, adhering to relevant standards of accepted nursing, regulatory, medical practice, and payer source criteria.Key Responsibilities:Compliance with hospice policies and procedures, as well...


  • Centralia, United States Assured Home Health & Hospice Full time

    We are hiring for an RN Case Manager in Hospice. Salary Range: $43-$60 an hour (depending on experience) At Assured Hospice of Centralia, a part of LHC Group , we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly...


  • Centralia, United States Assured Home Health & Hospice Full time

    We are hiring for an RN Case Manager in Hospice.Salary Range: $43-$60 an hour (depending on experience)At Assured Hospice of Centralia, a part of LHC Group , we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is...


  • Centralia, Washington, United States vTech Solution Full time

    Job Title: Case Manager RNJob Summary: We are seeking a skilled Case Manager RN to join our team at vTech Solution. As a Case Manager RN, you will be responsible for coordinating patient care and ensuring that patients receive the best possible treatment.Key Responsibilities:Coordinate patient care with healthcare teams to ensure seamless transitions and...


  • centralia, United States Assured Home Health & Hospice Full time

    We are hiring for an RN Case Manager in Hospice.Salary Range: $43-$60 an hour (depending on experience)At Assured Hospice of Centralia, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly...