Manager - Case Management
About The Position
The individual in this position has overall responsibility for coordinating the daily activities of the case management team, while overseeing the clinical plan of care to conform with evidence-based practice and/or regulatory/payor requirements. This position integrates functions typically considered to be case management, care coordination and/or utilization management, and discharge planning assessment and coordination. Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At The Hospitals of Providence - Trans Mountain Campus hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
Requirements
- Graduate of an accredited school of nursing
- RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered.
- 2 years of acute hospital case management or healthcare experience.
Nice To Haves
- Academic degree in nursing (bachelor's or master's)
- 5 years of acute hospital case management leadership experience
- Accredited Case Manager (ACM)
Responsibilities
- Coordination of clinical care (medical necessity, appropriateness of care, and resource utilization for admission, continued stay, discharge, and post-acute care) compared to evidenced-based practice, internal and external requirements.
- Identify and report variances in appropriateness of medical care provided over/under utilization of resources compared to evidenced-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete, and concise documentation in CM software.
- Effective collaboration with physicians, nurses, ancillary staff, payors, patients, and families to achieve optimum clinical outcomes.
- Remain current with relevant clinical/case management practices.
- Assist Director with daily operational oversight and supervision of departmental staff.
Benefits
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
