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Care Manager RN - Utilization Review - Full time Day

Providence Health and Services

Benicia, CA
2 days ago
$72.23 - $99.98

Job Description

Join Providence as a Care Manager RN, where you will play a vital role in managing the care of complex patients and their families, ensuring they receive the appropriate health services throughout their care journey.

Key Responsibilities

  • Carry out effective case management functions for identified patients
  • Plan, coordinate, negotiate, procure and manage care for complex patients and their families
  • Assist patients in the utilization of appropriate health care services
  • Engage in Utilization Management and Discharge Planning
  • Conduct Chronic Disease Case Management based on inpatient settings

Required Qualifications

  • Recent completion of a post-graduate level curriculum focusing on case management or equivalent education/experience
  • Current clinical experience with 2 years clinical experience in an acute care hospital setting
  • 1 year current experience in an inpatient or outpatient case management setting
  • California Registered Nurse License upon hire
  • 2 years Case management, discharge planning, or utilization management experience in acute, sub-acute, home health setting or managed care environment

Preferred Qualifications

  • Bachelor's Degree in Nursing (required to obtain within 3 years of hire date)
  • 3 years Acute Care Experience

Benefits & Perks

Comprehensive benefits package including health care benefits (medical, dental, vision)401(k) Savings Plan with employer matchingLife insuranceDisability insurancePaid time off (parental leave, vacations, holidays)Voluntary benefitsWell-being resources