Care Manager RN - Utilization Review

The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their families throughout the continuum of care. The RN Case Manager assists patients in the utilization of appropriate health care services. Position may require Utilization Management and Discharge Planning, Chronic Disease Case Management based on inpatient settings.

Providence caregivers are not simply valued - they're invaluable. Join our team at Queen of the Valley Medical Ctr 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.

Required qualifications:

• Coursework/Training: Recent completion of a post-graduate level curriculum focusing on case management. Or

• Current clinical experience with 2 years clinical experience in an acute care hospital setting, or

• 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 the 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

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 caring for everyone, especially the most vulnerable in our communities.