RN Manager Case Management *$20,000 Hiring Bonus*
Company: Providence Health & Services
Posted on: August 5, 2022
Providence is calling a Manager Case Management RN(Full-Time/Day
shift) at Providence Little Company of Mary Medical Center Torrance
in Torrance, CA.
$20,000 Sign-On Bonus Eligible to External Candidates!
Please upload a current resume reflecting all relevant
Applicants that meet qualifications will receive a text with
additional questions from our MODERN HIRE system.
We are seeking a Manager Case Management RN who will provide
departmental direction for the functions of case management,
utilization management, discharge planning, and denial management
for all PMI HMO inpatient acute and skilled level care.
Responsibilities include all aspects and activities responsible for
monitoring the delivery of care to patients, the development of
strategies to reduce costs and ensure the appropriate utilization
of facilities and services and to provide appropriate discharge
planning for every patient to return to their optimum level of
function. Oversees the collection, analysis, and reporting of
financial and quality data related to utilization management,
quality improvement, and performance improvement. Plans, organizes,
analyzes, develops and implements Departmental programs, services
and strategies to ensure favorable Hospital operating results.
Adhere to all Budgetary and Productivity goals/standards. Ensures
the attainment of Department and Hospital goals, policies and
procedures. The Manager promotes interdisciplinary collaboration,
fosters teamwork, and champions service excellence. Supervises all
Inpatient Acute and SNF onsite and telephonic case managers in PMI
UM. The UM Inpatient Case Management Manager works in collaboration
with Discharge Planner Manager in UM Department to facilitate
excellent communication, collaboration and safe transitions in
care, post-acute follow up calls and documentation of all
communication and physicians orders for post-acute care needs.
In this position you will:
- Plan, direct, and supervise all aspects of the program,
including advocating for critical HR needs necessary to meet
strategic goals. Assures that the hospital is in compliance with
JCAHO/CMS standards and other regulatory policies related to case
management, discharge planning, and utilization management.
- Facilitate growth and development of the case management
program consistent with the Providence Health Services philosophy
and in response to the dynamic nature of the health care
environment through benchmarking for best practices, networking,
quality management, and other activities as needed.
- Responsible for managing the day-to-day local-level operational
budget and in conjunction with others for developing the
operational and capital budgets. Has limited signature authority to
authorize procurement of supplies. Responsible for identifying and
achieving optimal targeted financial outcomes via the inpatient
case management process.
- Responsible for departmental personnel functions (ex:
recruitment, onboarding and training, feedback and monitoring,
corrective actions, etc.) in conjunction with supervisors and
staff. Writes and conducts annual and interim performance appraisal
reviews for the professional and any applicable nonprofessional
staff direct reports.
- Act as a liaison to facilitate communication and collaboration
between all care partners (ex: physicians, hospitalists, nurse,
community care managers, post-acute care facilities, and other
community resources etc.).
- Responsible for mentoring and leading a high-performance team
of "systems thinkers" who incorporate leadership principles and
vision in performing the functions of case management.
- Demonstrate initiative in identifying and pursuing
opportunities for self-improvement and enhancement of professional
competency and serves as a resource to the care management/case
management team for self-improvement and enhancement of
- Manage, promote, and maintain a competent, productive and
quality staff. Focus of CME needs related to evidence-based
practices in the area of discharge planning, case management, and
utilization management. Uses data to drive decisions, plan, and
implement performance improvement strategies for case
- Responsible for overseeing the education of physicians, nurses,
other associates, patients, and families related to the case
- Will practice as a case manager a minimum of 40% of the time
with focus on relief and overflow work as necessary to support all
direct reports case management load and census of PMI UM admits
across the spectrum.
- Bachelor's Degree in Nursing
- Registered nurse with current license to practice professional
nursing in the State of California.
- 10 or more years multidisciplinary clinical experience
including 4 years case management experience and 2 years management
- Experience in utilization management, case management,
discharge planning, disease management and other cost/quality
- Background in business planning and targeted clinical
- Experience in change management.
- Thorough knowledge of health benefit and the administrative
services performed in the processing of health benefit claims.
- Thorough understanding of the coding and classification systems
used for medical records and medical services billing including the
classification of disease and clinical procedural terminology.
- Knowledge of leading practice in clinical care and payer
- Working knowledge of managed care, inpatient, outpatient, and
home health continuum, as well as utilization management and case
- Working knowledge of concepts and standards associated with
- Demonstrated effective working relationship with
- Demonstrated strategic planning skills.
- Ability to work collaboratively with health professionals at
all levels to achieve established goals and improve quality
- Personal Characteristics: Self-motivated, proven communication
- Outstanding leadership skills.
- Outstanding communication skills with a reputation of keeping
all stakeholders (leadership, associates, physicians, patients, and
community partners) well informed.
- Goal oriented with the ability to maintain focus and move new
initiatives forward in a collaborative, team based culture.
- Clear focus on results for quality, service, clinical
excellence, and financial performance.
- Ability to motivate and mentor individuals to operate beyond
their comfort zones.
- Knowledge and skill with MCG (Milliman) criteria and
- Master's Degree Or Masters program in progress.
- Certificate in Case Manager (CCM) or Accredited Case Manager
About the ministry you will serve:
Providence Little Company of Mary Medical Center Torrance is a
436-bed non-profit hospital that has served the greater South Bay
communities of Los Angeles since 1960. We have a reputation for
clinical excellence and sophisticated technology while providing
care with a personal, healing touch. In addition to the finest
general medical, surgical and critical care services, we offer a
number of specialty programs including Cardiovascular Services,
Women's and Children's Health, Oncology, and Emergency Care. We are
proud to be named one of the Top 50 U.S. Hospitals for Heart Care
by Thomson Reuters, the only community hospital in California to
receive this honor. We were one of five hospitals in the United
States recognized by American Hospital Association-McKesson for
leadership and innovation in quality improvement. We received The
Choice Award by AAHCP for Outstanding Customer Service Delivery,
and were one of 24 hospitals and health systems in the nation to
receive the Premier Award for Quality by the Premier healthcare
alliance. As a member of Providence Health & Services, a
Catholic-sponsored healthcare ministry, we believe strongly in
respecting the dignity of each person, and give special concern to
the most vulnerable members of our community.
At Providence, our strength lies in Our Promise of "Know me, care
for me, ease my way." Working at our family of organizations means
that regardless of your role, we'll walk alongside you in your
career, supporting you so you can support others. We provide
best-in-class benefits and we foster an inclusive workplace where
diversity is valued, and everyone is essential, heard and
respected. Together, our 120,000 caregivers (all employees) serve
in over 50 hospitals, over 1,000 clinics and a full range of health
and social services across Alaska, California, Montana, New Mexico,
Oregon, Texas and Washington. As a comprehensive health care
organization, we are serving more people, advancing best practices
and continuing our more than 100-year tradition of serving the poor
Requsition ID: P358282
Company: Providence Jobs
Job Category: Care Management
Job Function: Clinical Care
Schedule: Full time
Career Track: Leadership
Department: 7014 LCMT CASE MGMT
Address: CA Torrance 4101 Torrance Blvd
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.
Keywords: Providence Health & Services, Torrance , RN Manager Case Management *$20,000 Hiring Bonus*, Executive , Torrance, California
Didn't find what you're looking for? Search again!