Care Manager RN

Providence Health Plan Group; Seattle (WA); On-site; Part time

Job summary

An established industry player is seeking a dedicated Care Manager RN to join their team at Swedish First Hill. This role offers the chance to make a significant impact on patient care by coordinating services and advocating for patients' needs. The position emphasizes collaboration with interdisciplinary teams to ensure optimal outcomes for patients. With a part-time schedule and a supportive work environment, you will be empowered to focus on what truly matters – improving the health and wellbeing of patients. Join a culture that values your voice and contributions while enjoying competitive compensation and benefits from day one.

Benefits

Hiring Bonus

Relocation Assistance

Best-in-class Benefits

Professional Development Opportunities

Qualifications

• Bachelor's degree in Nursing or related health care field required.
• 3 years of registered nursing experience in an acute care hospital.

Responsibilities

• Coordinate care for patients through the acute care episode.
• Advocate for patients and manage resources effectively.

Skills

Patient Advocacy

Care Coordination

Resource Management

Clinical Assessment

Problem Solving

Education

Bachelor's Degree in Nursing

Accredited Nursing Program

Tools

Electronic Health Records (EHR)

Job description

Description

Care Manager RN @ Swedish First Hill

Part time 0.6 FTE

Day Shift

$10,000 Hiring Bonus and relocation for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Join us, and find out how many ways we offer you the chance to focus on what really matters - our patients.

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

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.
• Upon hire: Washington Registered Nurse License
• 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. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requisition ID: 353309
Company: Swedish Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Part time
Job Shift: Day
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: $51.43 - $79.84