RN Care Management Leader – Hybrid

Providence Health and Services; Fircrest (WA); Hybrid; USD 128,000 - 203,000; Full time

Job summary

Providence Health and Services is seeking a Supervisor Care Management RN to oversee case management and utilization management within US Family Health Plan, ensuring timely reviews, reviews for medical necessity, and TRICARE guidance. This role coordinates with the Director of Operations and Medical Directors to implement annual CM/UM goals in a patient‑centered care environment.

You will manage staff schedules, oversee department operations, and promote collaboration across clinics and care

Qualifications

• RN certification and current Washington Registered Nurse license.
• Minimum 5 years of clinical experience in relevant settings.

Responsibilities

• Supervise care management and utilization management functions.
• Oversee staff schedules and department operations.
• Collaborate with Director of Operations and Medical Directors to set annual goals.
• Ensure adherence to TRICARE policy guidelines and regulatory requirements.

Skills

RN

Education

Washington RN License

Bachelor's degree in Nursing

Job description

Providence Health and Services is seeking a Supervisor Care Management RN to oversee case management and utilization management within US Family Health Plan, ensuring timely reviews, reviews for medical necessity, and TRICARE guidance. This role coordinates with the Director of Operations and Medical Directors to implement annual CM/UM goals in a patient‑centered care environment.

You will manage staff schedules, oversee department operations, and promote collaboration across clinics and care