Care Manager RN
Company: Swedish Health Services
Location: Renton
Posted on: November 18, 2024
Job Description:
Description Care Manager RN @ Swedish Cherry Hill Full Time Day
Shift 8-Hour Shifts $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 Cherry 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. Collaboration: Works collaboratively with
patients nurses, social workers, physicians, other practitioners,
caregivers and community resources and agencies. The case manager
and healthcare team are jointly accountable for measurable outcomes
that are cost effective and reflect patient preferences and
values.
- 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 o 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 in 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.
Or
- 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. Accepting a new
position at another facility that is part of the Providence family
of organizations may change your current benefits. Changes in
benefits, including paid time-off, happen for various reasons.
These reasons can include changes of Legal Employer, FTE, Union,
location, time-off plan policies, availability of health and
welfare benefit plan offerings, and other various reasons. 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. As a
comprehensive health care organization, we are serving more people,
advancing best practices and continuing our more than 100-year
tradition of serving the poor and vulnerable. The amounts listed
are the base pay range; additional compensation may be available
for this role, such as shift differentials, standby/on-call,
overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a
retirement 401(k) Savings Plan with employer matching, health care
benefits (medical, dental, vision), life insurance, disability
insurance, time off benefits (paid parental leave, vacations,
holidays, health issues), voluntary benefits, well-being resources
and much more. Learn more at providence.jobs/benefits. 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 (Ballard, Edmonds, Everett, Centralia, Cherry
Hill (Seattle), First Hill (Seattle), Issaquah and Olympia);
emergency rooms and specialty centers in Redmond (East King County)
and the Mill Creek area in Everett; and Providence Swedish Medical
Group, a network of 190+ primary care and specialty care locations
throughout the Puget Sound. Whether through physician clinics,
education, research and innovation or other outreach, we're
dedicated to improving the wellbeing of rural and urban communities
by expanding access to quality health care for all. 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. Requsition ID: 319631 Company: Swedish Jobs Job
Category: Care Management Job Function: Clinical Care Job Schedule:
Full time Job Shift: Day Career Track: Nursing Department: 3903 SCH
CASE MANAGEMENT Address: WA Seattle 500 17th Ave Work Location:
Swedish Cherry Hill 500 17th-Seattle Workplace Type: On-site Pay
Range: $47.13 - $74.61 The amounts listed are the base pay range;
additional compensation may be available for this role, such as
shift differentials, standby/on-call, overtime, premiums, extra
shift incentives, or bonus opportunities.PandoLogic.
Category:Healthcare, Keywords:Medical Case Manager,
Location:Renton, WA-98059
Keywords: Swedish Health Services, Auburn , Care Manager RN, Executive , Renton, Washington
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