Manager - Case Management

Job Shift: Days

Job Type: Full Time

The individual in this position has overall responsibility for coordinating the daily activities of the case management team, while overseeing the clinical plan of care to conform with evidence-based practice and/or regulatory/payor requirements.  This position integrates functions typically considered to be case management, care coordination and/or utilization management, and discharge planning assessment and coordination.
 

Responsibilities

The individual’s responsibilities will include, but not be limited to, the following activities:

1. Coordination of clinical care (medical necessity, appropriateness of care, and resource utilization for admission, continued stay, discharge, and post-acute care) compared to evidenced-based practice, internal and external requirements.

2. Identify and report variances in appropriateness of medical care provided over/under utilization of resources compared to evidenced-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete, and concise documentation in CM software.

3. Effective collaboration with physicians, nurses, ancillary staff, payors, patients, and families to achieve optimum clinical outcomes.

4. Remain current with relevant clinical/case management practices.

5. Assist Director with daily operational oversight and supervision of departmental staff.
 

Qualifications

Education:

• Required: Graduate of an accredited school of nursing
• Preferred: Academic degree in nursing (bachelor's or master's)

Experience:

• Required: 2 years of acute hospital case management or healthcare experience.  
• Preferred: 5 years of acute hospital case management leadership experience

Certifications:

• Required: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered.  
• Preferred: Accredited Case Manager (ACM)

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Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At The Hospitals of Providence - Trans Mountain Campus hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At The Hospitals of Providence - Trans Mountain Campus, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

The Hospitals of Providence have faithfully been serving our community since 1902. Generations of families have chosen our hospitals to be a steward of health in the El Paso community. Our five hospitals include a childrens hospital committed to providing the care patients need, when they need it. Today, the Hospitals of Providence are comprised of our region's most trusted hospitals, each dedicated to meeting our families specific healthcare needs. Join our team!