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RN Care Manager
4 weeks ago
Description
Care Manager RN - Case Management, Providence Sacred Heart Medical Center & Children's Hospital, Spokane WA
Assumes accountability for the management, coordination, and facilitation of activities for a defined patient population, necessary to achieve length of stay and resource consumption outcome goals, while maintaining or improving quality of service. Functions in a leadership role as a member of a multidisciplinary team to achieve collaborative practice, coordinated care, continuity of care, consistent and/or expected clinical outcomes, efficient management, and quality improvement. Responsible for implementing the utilization review program following the HFH Utilization Management Plan and assist with quality improvement data collection. Provides leadership to staff, management, physicians and others in implementation of and compliance with Medicare/Medicaid regulations/rules/guidelines and utilization rules of third party payer contracts. Provides teaching, consultation, guidance, and advice for physician intent for admission, improved clinical documentation, and proper coding of documentation. Contributes to clinical performance improvement on units by providing direction on ways to improve efficiencies, reduce costs, receive appropriate reimbursement, meet requirements. Actively participates in CMC governance, peer review, education and support processes. Reports to Director of Case Management.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Sacred Heart Medical Center & Children's 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.
Shift Details:
- Fulltime, 40 hours per week, 8 - hour dayshift
Required Qualifications:
- Education or experience in Case Management and/or Utilization Review/Utilization Management.
- Upon hire: Washington Registered Nurse License
- Education or experience in Case Management and/or Utilization Review/Utilization Management.
- 3 years Within area of practice.
- Previous experience preferred in case management; clinical nursing and/or utilization management.
Preferred Qualifications:
- Bachelor's Degree Nursing.
- Experience in computer technology, laptops, Microsoft Office products.
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.
Check out our benefits page for more information about our Benefits and Rewards.
About the Team
Providence has been serving the Inland Northwest since 1886 when Mother Joseph and the Sisters of Providence founded Sacred Heart Medical Center. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In eastern Washington, Providence provides care throughout Spokane, Stevens and Walla Walla counties.
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: 304441
Company: Providence Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 3040 CASE MANAGEMENT WA SHMC SPOKANE MAIN TOWER MAIN
Address: WA Spokane 101 W 8th Ave
Work Location: Sacred Heart Medical Center-Spokane
Pay Range: $40.24 - $63.69
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.
Check out our benefits page for more information about our Benefits and Rewards.
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
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