Care Manager RN Job at Providence Health & Services in Seattle

Description

Care Manager RN @ Swedish First Hill

The nurse case manager coordinates the care and service of selected patient populations through the acute care episode, across the continuum. Works collaboratively with inter-disciplinary teams, both internal and external to the organization, to improve patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve desired clinical, financial, and resource outcomes.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Swedish First Hill 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.

For direct patient care roles: Performs and maintains currency of essential competencies as required by specific area of hire and populations served.

• Acts as resource and provides oversight for the Case Management Associate for discharge planning and utilization activities.

Responsibilities:

• Coordination: Integrates the work of the healthcare team by coordinating resources and services necessary to accomplish agreed-upon goals.
• Comprehensively assess patients’ goals as well as their biophysical, psychosocial, environmental, economic/financial, and discharge planning needs.
• Procures services and resources for identified patients and families, serving as an advocate to promote achievement of agreed-upon goals.
• Advocacy: Advocates on behalf of patients and caregivers for service access or creation, and for the protection of the patient’s health, safety and rights.
• Advocates for the patient, family, physician, and facility to obtain benefits from insurance carriers and others that provide financial assistance for patients and promote health care treatment goals.
• Identifies and reports cases and problems appropriate for secondary review to Case Management Department leadership, the Medical Director, or Physician Advisor.
• Resource Management: Assures prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating the options available and balancing cost and quality to assure the optimal clinical and financial outcomes.
• Assesses the appropriateness and timeliness of level of care, diagnostic testing and clinical procedures, quality and clinical risk issues, and documentation completeness.
• Maintains and documents third-party payers’ authorizations, contacts, and transactions for individual patients.
• Accountability: Accepts responsibility and accountability for achievement of optimal outcomes within their scope of practice.
• Seeks out information and resources and uses creative problem solving for complex discharge planning, quality of care, and utilization issues. Explores new resources when the opportunities for the patient are absent or in short supply.
• Continually evaluates case management services and client outcomes.
• Professionalism: Acquires and maintains knowledge and competence related to the expectations of their position and practices within their scope.
• Studies information available to remain informed of reimbursement modalities, community resources, review systems, and clinical and legal issues that affect patients and providers of care.
• Serves as a resource and provides education to patients, physicians, and professional staff on levels of care, quality-of-care issues, and regulatory concerns.
• Provides orientation and mentoring to new staff.
• Works in accordance with applicable state and federal laws and with the unique requirements of reimbursement systems.
• Is knowledgeable about and acts in accordance with laws and procedures regarding patient confidentiality and release of information, Americans with Disabilities Act, other laws protecting rights, and worker’s compensation laws when applicable to the case manager’s practice.
• Performs other duties requested by the department leadership.

Required Qualifications:

• Bachelor's Degree: Graduate of an accredited Bachelors Nursing degree program or completion of an accredited Nursing program with a Bachelors degree or higher in a health care field.
• Applicants without a BSN degree must actively pursue and attain a BSN within three years of hire. Continued employment by Swedish beyond three years is contingent upon attaining the BSN degree.
• Washington Registered Nurse License upon hire.
• 3 years registered nursing experience in an acute care hospital.

Preferred Qualifications:

• 1 year hospital case management experience.

Why Join Providence?

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 improving the health and wellbeing of each patient we serve.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected.

Requisition ID: 317246
Company: Swedish Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Part time
Job Shift:
Career Track: Nursing
Department: 3901 SFH CASE MANAGEMENT
Address: WA Seattle 747 Broadway
Work Location: Swedish First Hill 747 Broadway-Seattle
Workplace Type: On-site
Pay Range: $47.13 - $74.61

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