Do you have a passion for Nurse Care Management and a dream to provide outstanding leadership and exceed service standards? Join the Kootenai Health team today as our new Manager of Nurse Care Management!
Kootenai Health is looking for a strong, community-minded, and driven leader for our fast-growing Care Management Team.
You will be responsible for the daily operations of the Care Management department including utilization review, denials and appeals, care coordination, and medical discharge planning. You focus your teams on identifying barriers to care progression along with developing and executing timely discharge plans to optimize clinical outcomes within standard methodology. Promotes and mentors team knowledge through the continual advancement of skills necessary for their professional development. You lead performance improvement initiatives with key members of the organization for utilization processes, trends and regulatory requirements of utilization management. Facilitates processes that connect the inpatient care coordination with the ambulatory care coordination programs. Responsible for strong collaboration of care coordination services with the Kootenai Care Network, ambulatory clinics, and post-acute facilities. Responsible for establishing appropriate staffing levels and work assignment's, developing performance criteria for staff, serving as an expert resource for regulatory compliance, policies, and operational procedures. You will partner with professionals from multiple disciplines assuring quality patient care coordination is at an optimum across the continuum and at a resource-appropriate level of care. At the end of the day, you can have the opportunity to take pride in being a part of a healthy, growing and high functioning organization.
As you are reading, are you thinking this is you? Great - here are a few more items to check off the "This is Me" list:
Licensed R.N in the state of Idaho. BSN required, Masters preferred.
ACM or CCM certification preferred.
5 years' acute hospital experience as direct care clinician or case manager and 1-year experience in non-hospital based healthcare preferred.
3 years' supervisory or management experience required.
Demonstrated knowledge of laws or regulations pertaining to the utilization review, reimbursement programs, quality and financial outcomes of patient care processes and accreditation required.
Knowledge of insurance, coding, compliance practices and data analysis required.
Computer skills in Microsoft office and ability to learn multiple operating systems is required.
Previous experience in utilization management, case management, project implementation, insurance practices and regulatory compliance preferred.
Kootenai Health provides a comprehensive range of medical services to patients in north Idaho, eastern Washington, Montana and the Inland Northwest at several facility locations. The main Kootenai Health campus is located in Coeur d'Alene, Idaho and includes a 292-bed community-owned hospital and a full range of physician clinics including a family physician residency program. Kootenai Health repe...atedly earns regional and national recognition and is a Magnet facility. Visit the Recognition, Awards and Honors page for a look at Kootenai's most recent awards."