Care Manager RN - Case Management

Providence•Eureka, CA

2d•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 utilization of resources according to clinical and financial standards. The RN Care Manager monitors medical records for variances to those standards and intervenes to achieve optimal outcomes for patients and the hospital. The role incorporates risk management and infection control knowledge to help the healthcare team achieve desired outcomes, identifies issues that expose the organization to liability or financial risk, and collaborates with management, medical staff, and hospital personnel to minimize risk. This full-time position is at Providence St. Joseph Hospital in Eureka, California, and is listed as working 8-hour shifts; the shift designation is shown as “<Day/Evening/Night/Variable>.” Providence describes its culture as patient-focused, whole-person care built on understanding, commitment, and mutual respect, and emphasizes empowering caregivers. Benefits are described as supporting employees and their families in staying well, growing professionally, and achieving financial security.

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 other needs for complex patients and their families throughout the continuum of care.
Communicate daily with medical staff, hospital personnel, and outside resources to support appropriate resource utilization according to clinical and financial standards.
Monitor medical records for variances from clinical and financial standards and intervene to achieve optimal outcomes for patients and the hospital.
Apply risk management and infection control knowledge to help the healthcare team achieve desired outcomes.
Identify issues that expose the organization to liability or financial risk and collaborate with management, medical staff, and hospital personnel to minimize risk.