RN Clinical Resource Manager - Hospital Care Planner

Trinity Health; Boise (ID); On-site; USD 95,000 - 125,000; Full time

Benefits offered by this job

Full benefits package

Growth opportunities

Job summary

Saint Alphonsus Health System is seeking a Clinical Resource Manager to coordinate hospital case management, utilization review and discharge planning. The role collaborates with physicians, social services, and care teams to determine level of care and ensure seamless transitions.

Required BSN with 2+ years hospital experience; RN license in Idaho or Oregon; master’s degree preferred; background in case management or insurance is advantageous.

Qualifications

• RN license as defined by the primary work state (Idaho or Oregon).
• IDAHO ONLY: licensure by endorsement and update of primary state of residence within 60 days of hire.
• All colleagues must provide licensure or proof of application for secondary state within 90 days of hire.
• BSN required. A master's degree is preferred.
• A minimum of 2 years of varied hospital clinical experience is required.
• Experience in case management, home health, and/or the insurance industry preferred.

Responsibilities

• Knows, understands, and demonstrates the Organization's Mission, Vision, and Values in behaviors and decisions.
• Demonstrates knowledge and skills to care for all assigned age groups (Neonate to Geriatric).
• Revenue Management: ensures the accuracy of documenting services and supplies.
• Coordinates integration of social services/case management into patient care, discharge, and home planning with hospital departments and external services.
• Conducts concurrent medical record review to determine correct level of care for acute patients and assists physicians with transfer and discharge orders.
• Provides education to health care team members regarding regulatory requirements and standards.
• Promotes efficient utilization of clinical resources from admission to discharge.
• Documents assessment and interventions in Power Chart and communicates with patient/family.
• Participates in multidisciplinary rounds to review goals and post-hospital needs.
• Adheres to Medicare/Joint Commission standards and discharge planning processes.

Skills

RN license

Regulatory knowledge

Education

BSN

Master's degree preferred

Job description

Saint Alphonsus Health System is seeking a Clinical Resource Manager to coordinate hospital case management, utilization review and discharge planning. The role collaborates with physicians, social services, and care teams to determine level of care and ensure seamless transitions.

Required BSN with 2+ years hospital experience; RN license in Idaho or Oregon; master’s degree preferred; background in case management or insurance is advantageous.