Providence St. Joseph Health

Job Information

Providence Director of Care Management in Everett, Washington

Description:

Providence is calling a Director of Care Management (1.0 FTE, Day Shift) to Providence Regional Medical Center Everett in Everett, WA. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible to all - especially those who are poor and vulnerable.

The role requires a broad knowledge of Case Management principles including but not limited to; performance improvement, healthcare finance (including contractual arrangements and utilization/quality metrics), regulatory standards, discharge planning, social services, utilization management, industry benchmarks, demonstrated regulatory requirement experience and medical necessity criteria.

Position Details: This is a full-time, exempt position with benefits.

In this position you will:

  • Direct activities in Transition Planning, UM/UR and CDS functions.

  • Manage HR issues.

  • Provide expertise in Case Management to Nursing and Medical Staff.

  • Lead interdisciplinary efforts to address complex patient discharge issues.

  • Develop new relationships/processes to support timely discharges.

  • Accountable for budgetary compliance in departments reporting to the role.

  • Lead department specific process improvement and engages in house wide PI work.

  • Remain current in all regulations that impact areas of responsibility.

  • Collaborate with Regional Director of Care Coordination to build bridges with PMG and other provider group to ensure care coordination across the continuum.

Qualifications:

Required qualifications for this position include:

  • Bachelor’s Degree in nursing, MSW, healthcare administration, or related field

  • Transition Planning and Utilization Management experience

  • Compliant Documentation experience

  • 5 years experience in Acute Care setting

Preferred qualifications for this position include:

  • Master’s degree

  • License and Certifications: RN, MSW and/or Case Management

About the hospital you will serve.

Providence Regional Medical Center Everett in Everett, WA is the state’s most award-winning hospital for medical care; having received the HealthGrades Distinguished Hospital Award for Clinical Excellence four years in a row. Our new state-of-the-art 12 story hospital tower and the implementation of an electronic medical records system will significantly enhance our patient’s experience throughout the continuum of care.

The hospital is located in Snohomish County on the Sound and close to the mountains, so outdoor activities such as snow skiing, kayaking, and golfing are at your doorstep. The communities in Snohomish have all the comforts and appeal of small towns, with historical districts, beautiful homes, interesting boutiques, and unique restaurants, yet the city life of Seattle and Bellevue are just 30 minutes south, while the cosmopolitan city of Vancouver, BC lies only 2 hours north.

For information on our comprehensive range of benefits, visit:

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As 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 Us

Providence 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: Full-time

Shift: Day

Job Category: Nurse Lead/Supervisor/Manager

Location: Washington-Everett

Req ID: 280547

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