Care Manager RN - Case Management

Providence•Eureka, CA

1d•Onsite

About The Position

The RN Care Manager carries 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 role communicates daily with medical staff, hospital personnel, and outside resources to ensure appropriate resource utilization according to clinical and financial standards. The Care Manager monitors medical records for variances from those standards and intervenes to achieve optimal outcomes for both patients and the hospital. The position is with Providence St. Joseph Hospital in Eureka, California. Providence describes its culture as patient-focused, whole-person care built on understanding, commitment, and mutual respect.

Requirements

Associate's degree in Nursing or nursing diploma upon hire.
California Registered Nurse License upon hire.
Two years of acute care experience in a Medical Surgical or inpatient setting.
One year of experience in care management or utilization review in any setting, or successful completion of the TIPS program or Case Management Orientation Program upon hire.

Nice To Haves

Bachelor's degree in Nursing or higher within three years of hire.
Certified Case Manager (CCM) or Accredited Case Manager (ACM).

Responsibilities

Plan, coordinate, negotiate, procure, and manage care and services for complex patients and their families throughout the continuum of care.
Communicate daily with medical staff, hospital personnel, and outside resources.
Ensure appropriate resource utilization according to clinical and financial standards.
Monitor medical records for variances from clinical and financial standards.
Intervene to achieve optimal outcomes for patients and the hospital.