Pacific Medical Centers RN Case Manager - Uniformed Services Family Health Plan in Seattle, Washington
PacMed is looking for a Registered Nurse - Case Manager at Pacific Medical Centers in Seattle, WA.
$3,000 sign on bonus eligible!
The RN Case Manager coordinates care for Pacific Medical Centers' Managed Care patient in order to assure cost effective, appropriate utilization of health care resource. Nurse Case Manager manages, directs, and coordinates the entire spectrum of care for patient throughout a variety of settings, both inpatient and outpatient. This position assists physicians (internal and external) with management and coordination of care.
In this position you will:
Oversee the utilization of resources involving hospital care; tracks utilization
using tools such as InterQual; intervenes when inappropriate utilization
identified by making recommendations to attending provider and referring
noncompliance to Medical Director.
· Collaborate to create discharge plans for patients in
skilled nursing facilities and hospitals; collaborate with physicians to
identify plan of care for admission including expected outcome of treatment.
Assess patients and facilitate a decision to determine disposition of patients on
discharge; coordinate discharge plan with patient families to assure timely
and successful discharge; advise patients and families regarding benefits,
resources, and home management options.
appropriate referrals for homecare and DME with identified case load.
Assess and determine homecare for patients when hospitalized; order homecare and durable medical equipment as indicated; maintain a sophisticated
knowledge of benefits, services, agencies and community resources available.
Recommend care plan for high risk
patients in the outpatient setting including communication with physicians,
nurses, homecare providers or others as applicable.
and directs providers both within and outside the Pacific Medical system
regarding benefits and utilization of services; directs case managers from
outside facilities regarding: use of benefits and discharge planning options.
Current Washington State Registered Nurse License
Five (5) years clinical experience
Cardiopulmonary Resuscitation (CPR) or Current Basic Life Support (BLS) certification within 6 months of hire
Preferred qualifications :
Bachelor of Science in Nursing (BSN)
Certified Case Manager experience
Experience in utilization review/case management
About Pacific Medical Center:
Pacific Medical Center is an expanding network of outpatient clinics providing primary and specialty care to the greater Seattle area and employing more than 150 providers representing most medical specialties. Pacific Medical Centers
is affiliated with Providence Health & Services, which operates 28 exceptional not-for-profit hospitals and more than 350 clinics across the West. With hundreds of physician and advanced practice provider opportunities in virtually all specialties at any given time, Pacific Medical Centers and Providence offer diverse locations, lifestyles and practice models. Find what you are looking for in your next practice opportunity with Pacific Medical Centers!
Learn more at www.pacmed.org/providerjobs .
We offer a full comprehensive range of benefits — see our website for details —
Our mission is to provide respectful, high-quality, patient-focused healthcare to each person and to the communities we serve.
Quality and respect. These are the words Pacific Medical Centers (PacMed) employees live and work by. PacMed is a private, not-for-profit, primary and integrated multispecialty health care network with 10 outpatient clinics across the Puget Sound region and more than 175 primary and specialty care providers. Affiliated with the Providence Health & Services system, PacMed provides patient-focused health care — and even same-day appointments — to patients in King, Snohomish and Pierce counties. We provide immediate access to cutting-edge technology, first-class facilities and board-certified specialists, many of whom have been listed as among “Seattle’s Best Doctors.”
Pacific Medical Centers, PacMed, and their Affiliates' (collectively “PacMed”) comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. PacMed does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Job Category: Nursing - Other
Req ID: 251241