RN/Nursing Supervisor - Full Time - Nursing OperationsProvidence Health and Services • Washington DC, District of Columbia, United States

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RN/Nursing Supervisor - Full Time - Nursing Operations

Providence Health and Services

Washington DC, District of Columbia, United States

Washington DC, District of Columbia, United States

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Supervisor Care Management RN - USFHP at Providence Health and Services summary: The Supervisor Care Management RN oversees case management and utilization management functions to ensure cost-effective resource use and compliance with TRICARE policies. This role involves supervising staff schedules, coordinating patient care transitions, reviewing medical necessity, and collaborating with leadership to set strategic goals. The position requires an RN license, clinical experience, and supervisory skills to lead healthcare operations within Pacific Medical Centers under Providence. The Supervisor Care Management RN is responsible for the supervision of case management (CM) and utilization management (UM) functions of US Family Health Plan to achieve cost-effective utilization of resources. This is accomplished through the proactive coordination of services to move patients efficiently through the continuum of care and ensure referrals are reviewed and processed in a timely manner. It includes timely review of medical necessity and authorization for all admitted patients and outpatient referral requests. Responsible for ensuring accurate and consistent application of and adherence to TRICARE policy guidelines, other regulations and department policies and procedures. oversees and supervises all areas of department operations. Works collaboratively and proactively with Director of Operations and USFHP Medical Director(s) to develop and implement strategic case management and utilization management yearly goals. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Coursework/Training Nursing (must be RN) And ~ Washington Registered Nurse License ~Bachelor's Degree Nursing ~ Acute inpatient, skilled nursing facility, home health or community health nursing including care management, care coordination, discharge planning ~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 to advocate, educate and provide. 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 and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in King, Snohomish and Pierce counties. We combine decades of patient-centered care with cutting-edge technology, first-class facilities and board-certified providers. Our strong team environment and respect for our people—at all levels and from all backgrounds—allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment 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. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Pacific Medical Jobs Job Category: Care Management Clinical Care Job Schedule: Full time Job Shift: Day The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Category:Healthcare, Keywords:Health Service Supervisor, Location:Renton, WA-98055 Care Management, Utilization Management, Nurse Supervisor, TRICARE, Case Management, Healthcare Supervision, Patient Care Coordination, Clinical Nursing, Healthcare Management, Medical Necessity Review

Washington DC, District of Columbia, United States

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