Care Manager RN Leader
4 days ago
Career Opportunity: We are seeking a highly skilled Care Manager RN to join our team at Providence Sacred Heart Medical Center & Children's Hospital in Spokane, WA.
About the Role: As a Care Manager RN, you will be responsible for managing, coordinating, and facilitating activities for a defined patient population. You will work in a leadership role as a member of a multidisciplinary team to achieve collaborative practice, coordinated care, continuity of care, consistent clinical outcomes, efficient management, and quality improvement.
Key Responsibilities:
- Implement the utilization review program following the HFH Utilization Management Plan
- Assist with quality improvement data collection
- Provide leadership to staff, management, physicians, and others on implementation of and compliance with Medicare/Medicaid regulations/rules/guidelines and utilization rules of third-party payer contracts
- Teach, consult, guide, and advise on physician intent for admission, improved clinical documentation, and proper coding of documentation
- Contribute to clinical performance improvement on units by providing direction on ways to improve efficiencies, reduce costs, receive appropriate reimbursement, meet requirements
Requirements:
- Bachelor's Degree in Nursing or related field
- 3 years of experience in Case Management and/or Utilization Review/Utilization Management
- Washington Registered Nurse License
Compensation and Benefits: The estimated salary range for this position is $83,000 - $120,000 per year, depending on experience. Additionally, we offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, paid time off, and professional development opportunities.
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