RN Manager - Care Management Full-time REMOTE

Providence • Irvine, CA

1d • Remote

About The Position

Description The Manager of Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management program in the Southern California Region. The Manager assists the Regional Director of Utilization Management, Appeals & Clinical Training through the provision of ongoing assessment and evaluation of hospital activities related to patient admission, transfers, and discharges in a variety of clinical settings. Accomplishes results through multiple experienced individual staff members who exercise latitude and independence in their assignments. Fosters team collaboration, sharing of workload and enhanced productivity. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence California Regional Services 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

• Bachelor's Degree in Nursing or other related area
• California Registered Nurse License
• 5 years healthcare management experience related to acute care utilization management or appeals management

Nice To Haves

• Master's Degree in Nursing or other related area
• Coursework/Training: Case Management Certification
• 2 years minimum of two years direct patient care experience in an acute care setting is preferred. Other direct patient care experience may consider in lieu of acute care.
• Previous experience working with denials and appeals in/for an acute care setting.
• Previous experience working with a remote UR team.
• Previous experience as a case manager in an acute care setting.

Benefits

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.
• We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 501-1,000 employees