Care Manager RN - Case Management - Full time Day
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 to those standards and intervenes to achieve optimal outcomes for patients and the hospital. The position applies risk management and infection control knowledge to help the healthcare team achieve desired outcomes, and identifies issues that expose the organization to liability or financial risk. It collaborates with management, medical staff, and hospital personnel to help minimize those risks. This is a full-time, remote position working 8-hour day shifts at St. Joseph Hospital Eureka. Providence describes its culture as patient-focused and centered on whole-person care, understanding, commitment, and mutual respect.
Requirements
- Associate's degree in nursing or a 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 needs for identified complex patients and their families throughout the continuum of care.
- Communicate daily with medical staff, hospital personnel, and outside resources to ensure appropriate resource utilization according to clinical and financial standards.
- Monitor medical records for variances from clinical and financial standards and intervene to achieve optimal patient and hospital 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 hospital personnel to minimize risk.
Benefits
- Providence offers benefits designed to support employees and their families in staying well, growing professionally, and achieving financial security.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
