The Care Management RN specializes in assessing hospital admissions for status per defined criteria and reviews for appropriate utilization of resources. Ensures continuity and coordination of care for patients before, during and after hospitalization, and ensures that payer conditions are met.
1. In conjunction with the interdisciplinary team supervises progress and recommends appropriate clinical interventions to nursing staff and attending physicians, ensuring CMS guidelines are met. 2. In conjunction with the interdisciplinary team ensures that patients and families have access to resources for post-hospital care needs. 3. Monitors patients' medical progress, identifies and addresses patient needs/gaps in service as they move through the system, and obtains authorization for discharge planning. Takes action to correct variances in length of stay and address them in care progression rounds and follows up with physicians and payors as needed. 4. Provides utilization reviews, meeting all time requirements and addresses the discharge appeal process in collaboration with the Dir/Mgr and/or Social Worker. 5. Performs other duties as assigned.
**Sign-on Bonus- up to $5,000 for full time**
REQUIRED: • Bachelors of Science degree in Nursing or actively pursuing a BSN degree in Nursing. • Three (3) years of experience as an RN with a combination of acute care and/or case management experience • Current State of Washington Registered Nurse (RN) license • Current Healthcare Provider BLS certification by date of hire
DESIRED: • Master's degree in Nursing or other experience and /or educational preparation that would provide the foundation for Nursing Case Management
Additional Salary Information: Competitive salaries and generous benefits
Internal Number: 27950
EvergreenHealth is an integrated two-hospital healthcare system offering a breadth of services and programs that is among the most comprehensive in the region. Formed in 1972 as a public hospital district, we now serve nearly 850,000 residents of our service area in north King and south Snohomish counties, with medical facilities located throughout the area for easy access. EvergreenHealth has been recognized with many honors and awards, including recognition by Healthgrades as one of America's 100 Best Hospitals (2018). To find all of our openings please go to our employment site: https://jobs.evergreenhealth.com/