Care Manager RN - Utilization Review Per Diem Day

Providence • Napa, CA

1d • Onsite

About The Position

The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their families throughout the continuum of care. The RN Case Manager assists patients in the utilization of appropriate health care services. Position may require Utilization Management and Discharge Planning, Chronic Disease Case Management based on inpatient settings. Ages of Patients Served: Infant/Toddler (0-3), Children (4-12), Adolescent (13-20), Adult (21-64), Geriatric (65+) Employee must demonstrate the knowledge and skills necessary to communicate with and provide care appropriate to the age of the patients served. Age-specific needs that the employee is required to know and understand will be reviewed and evaluated during job specific/department specific orientations and on-going thereafter. Providence caregivers are not simply valued – they’re invaluable. Join our team at Queen Of The Valley Medical Ctr 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.

Requirements

• Coursework/Training and recent completion of a post-graduate level curriculum focusing on case management Or equivalent education/experience
• Current clinical experience with 2 years clinical experience in an acute care hospital setting, or 1 year current experience in an inpatient or outpatient case management setting.
• Upon hire: California Registered Nurse License
• 2 years of Case management, discharge planning, or utilization management experience in the acute, sub-acute, home health setting or managed care environment.

Nice To Haves

• Bachelor's Degree in Nursing. Required to obtain within 3 years of hire date
• 3 years of Acute Care Experience

Responsibilities

• Planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their families throughout the continuum of care.
• Assisting patients in the utilization of appropriate health care services.
• Utilization Management and Discharge Planning, Chronic Disease Case Management based on inpatient settings.

Benefits

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.

What This Job Offers

• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees