Care Manager RN

1 month ago


Santa Rosa, California, United States Providence Full time
About the Role

We are seeking a skilled Care Manager RN to join our team at Santa Rosa Memorial Hospital. As a key member of our care management team, you will play a vital role in ensuring the best possible outcomes for our patients.

Key Responsibilities
  • Manage specific patients throughout their admission to ensure the availability of sufficient clinical and medical center resources.
  • Communicate daily with medical staff, medical center personnel, and outside resources to optimize resource utilization according to clinical and financial standards.
  • Monitor medical records for variances to clinical and financial standards and intervene to achieve optimal patient and medical center outcomes.
  • Apply risk management and infection control knowledge to support the healthcare team in achieving desired outcomes.
  • Identify issues that expose the organization to liability and financial risk, and collaborate with management, medical staff, and medical center personnel to minimize risk.
  • Provide payor/utilization review organizations with concurrent retrospective utilization review required for reimbursement.
Requirements
  • Bachelor's Degree in Nursing.
  • 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.
  • 3 years Acute nursing experience, with evidence of progressive clinical experience, or Case management experience.
Preferred Qualifications
  • CCM upon hire.
About Providence

At Providence, we are committed to providing exceptional patient care and creating a positive work environment for our caregivers. We believe in the importance of diversity, equity, and inclusion, and strive to create a workplace where everyone feels valued and respected.

We offer a comprehensive benefits package, including medical, dental, and vision insurance, retirement savings plan, and paid time off. We also provide opportunities for professional growth and development, as well as a supportive and collaborative work environment.

Join our team and be part of an organization that is dedicated to making a difference in the lives of our patients and our community.


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