Care Manager RN

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

Job summary

An established healthcare provider is seeking a dedicated Care Manager RN to join their team. In this vital role, you will coordinate care for patients, working closely with interdisciplinary teams to ensure optimal health outcomes. Your expertise in patient advocacy and care management will be essential as you facilitate communication among patients, families, and healthcare professionals. This position offers a supportive environment where your contributions will be valued, and you will have the opportunity to make a significant impact on patient care. Join a forward-thinking organization that prioritizes the well-being of its caregivers and patients alike.

Benefits

$10,000 Hiring Bonus

Relocation Assistance

Comprehensive Benefits Package

Professional Development Opportunities

Qualifications

• Must have a Bachelor's Degree in Nursing or related healthcare field.
• 3 years of registered nursing experience in an acute care hospital required.

Responsibilities

• Coordinate care for selected patient populations across the continuum.
• Collaborate with interdisciplinary teams to improve patient outcomes.
• Advocate for patients to access necessary services and resources.

Skills

Patient Advocacy

Care Coordination

Interdisciplinary Collaboration

Communication Skills

Problem Solving

Education

Bachelor's Degree in Nursing

BSN within three years

Tools

Electronic Health Records (EHR)

Job description

Description

Care Manager RN @ Swedish Ballard

Full Time 1 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 Ballard 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.

Responsibilities

Collaboration: Works collaboratively with patients nurses, social workers, physicians, other practitioners, caregivers and community resources and agencies.

• Contributes to the development of a goal-directed, age-appropriate plan of care through an interdisciplinary team process that is prioritized and based on determined medical diagnosis, patient needs, and expected patient outcomes.
• Interacts with patients and physicians to explore the most appropriate setting to meet patient needs.
• Collaborates daily with physicians and care team members to support the assessment of continued need for acute care hospitalization.
• Participates in the development, implementation, evaluation, and ongoing revision of initiatives to improve quality, continuity, and cost-effectiveness.
• Works collaboratively with other departments and services to define and study areas of inefficiency and participates in process improvement projects.
• Fosters positive internal and external customer relations.

Communication: Communicates timely, relevant and accurate information to all parties involved with a patient’s care.

• Communicates patient needs related to advancing the medical treatment plan and/or discharge plan to appropriate professionals and follows up.
• Communicates continually with patients and families, physicians, care team members, and third-party payors to facilitate coordination of clinical activities and to enhance the effect of a seamless transition from one level of care to another across the continuum, including facilitating and participating in patient care conferences.
• Communicates with patients and families to ensure understanding of third-party payer guidelines and to arrange referrals.
• Provides clear and thorough documentation based on established department standards.

Facilitation: Facilitates the progression of care by advancing the care plan to achieve desired outcomes.

• Develops and documents a discharge plan through collaboration with the interdisciplinary team.
• Ensures that all activities to facilitate and coordinate the plan are being implemented and that the plan is continuously modified based on the patient’s changing needs.
• 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.
• Washington Registered Nurse License upon hire.
• 3 years of Registered nursing experience in an acute care hospital.

Preferred Qualifications:

• 1 year of 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.

About the Team

Providence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of eight hospital campuses and a network of primary and specialty care locations throughout the Puget Sound.

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.

Requisition ID: 338557
Company: Swedish Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 3902 SBA CASE MANAGEMENT
Address: WA Seattle 5300 Tallman Ave NW
Work Location: Swedish Ballard 5300 Tallman-Seattle
Workplace Type: On-site
Pay Range: $47.13 - $74.61