Description:RN – Case Manager On Call/Per Diem – Case Management at Providence Holy Family Hospital-Assumes accountability for the management, coordination, and facilitation of activities for a defined patient population, necessary to achieve length of stay and resource consumption outcome goals, while maintaining or improving quality of service.-Functions in a leadership role as a member of a multidisciplinary team to achieve collaborative practice, coordinated care, continuity of care, consistent and/or expected clinical outcomes, efficient management, and quality improvement.-Responsible for implementing the utilization review program following the HFH Utilization Management Plan and assist with quality improvement data collection.-Provides leadership to staff, management, physicians and others in implementation of and compliance with Medicare/Medicaid regulations/rules/guidelines and utilization rules of third party payer contracts.-Provides teaching, consultation, guidance, and advice for physician intent for admission, improved clinical documentation, and proper coding of documentation.-Contributes to clinical performance improvement on units by providing direction on ways to improve efficiencies, reduce costs, receive appropriate reimbursement, meet requirements.-Actively participates in CMC governance, peer review, education and support processes.-Reports to Director of Case Management.Qualifications:Required qualifications:Current licensure as a Registered Nurse in the State of Washington3 years of experience within area of practicePreferred qualifications:Bachelor’s Degree in Nursing (BSN)Previous experience with case management; clinical nursing and/or utilization managementOurbest-in-class benefitsare 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 ourMissionof caring for everyone, especially the most vulnerable in our communities.About the hospital you will serve.Providence Holy Family Hospital is a progressive, full service hospital in Spokane, Washington, offering a full range of medical and surgical services as well as specialty support and outpatient services. The hospital primarily serves north Spokane County-the fastest growing area in our region. We are currently licensed for more than 270 beds. As a not-for-profit Catholic hospital, every dollar we earn goes back to the community we serve. Providence Holy Family Hospital received several Five Star safety and excellence awards last year, including Patient Safety, Pulmonary, Respiratory and Critical Care.We offer a full comprehensive range of benefits – see our website fordetails – offer comprehensive, best-in-class benefits to our caregivers. For more information, visit MissionAs expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.About UsProvidence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.Schedule:On CallShift:DayJob Category:Case ManagementLocation:Washington-SpokaneReq ID:357246
Associated topics: bsn, hospice, infusion, intensive, mhb, neonatal, surgery, tcu, transitional, unit

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