PeaceHealth
PeaceHealth is seeking a Registered Nurse Care Manager for a Part-Time (0.60 FTE), Day Shift at our critical access hospital in Sedro Woolley. If you're a compassionate, collaborative RN who is passionate about helping patients navigate complex healthcare needs and ensuring successful transitions of care, we'd love to connect with you.
Hiring bonus and relocation assistance may be available.
Compensation: $42.96 - $79.55 per hour
The hiring rate is based RN experience.
This position is represented by a collective bargaining agreement. Multiple openings may be available.
At PeaceHealth, you'll do more than coordinate care, you'll help patients and families navigate some of the most important moments in their healthcare journey. As an RN Care Manager, you'll serve as a key advocate, partnering with physicians, multidisciplinary teams, community resources, and payors to create comprehensive care plans that improve outcomes and enhance the patient experience.
You'll have the opportunity to:
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Make a meaningful impact on patient outcomes across the continuum of care
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Collaborate with a highly skilled interdisciplinary team
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Advocate for patients and families during critical transitions
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Help ensure appropriate resource utilization and care coordination
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Contribute to quality improvement, patient satisfaction, and financial stewardship initiatives
The RN Care Manager coordinates and facilitates discharge planning and care transitions for selected patient populations. This role promotes effective utilization of healthcare resources while supporting positive clinical, financial, and patient satisfaction outcomes. The Care Manager serves as a liaison between patients, families, healthcare providers, community partners, and third-party payors to ensure patients receive appropriate, timely care while meeting regulatory and reimbursement requirements.
- Review admission information and determine appropriate levels of care using established clinical criteria.
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Develop, implement, and monitor individualized discharge plans in partnership with patients, families, and the interdisciplinary care team.
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Assess patients' clinical, psychosocial, environmental, and financial needs to identify barriers and opportunities for successful care transitions.
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Coordinate post-discharge services and community resources to support continuity of care.
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Partner with physicians and care teams to ensure accurate documentation supporting medical necessity and reimbursement.
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Facilitate interdisciplinary care conferences aimed at improving quality, reducing costs, and enhancing patient satisfaction.
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Collaborate with Patient Financial Services to support accurate documentation and reduce claim denials.
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Conduct utilization reviews and monitor admission status using InterQual and other recognized criteria.
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Communicate with insurance providers and third-party payors to obtain authorizations and address payment-related concerns.
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Support palliative care initiatives as needed, including symptom management coordination, family meetings, comfort care planning, and POLST discussions.
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Maintain required care management documentation and databases.
- Graduate of an accredited School of Nursing
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Current Registered Nurse (RN) license in the state of practice
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Basic Life Support (BLS) certification upon hire
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Minimum of three years of clinical nursing experience in an acute care setting
Equivalent experience in skilled nursing facilities, outpatient case management, home health, or hospice may be considered.
- Bachelor of Science in Nursing (BSN)
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Master of Science in Nursing (MSN)
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Utilization Management and/or Quality Management experience
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Specialty Certification
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Knowledge of third-party reimbursement processes
- Strong care coordination and clinical assessment skills
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Excellent communication and relationship-building abilities
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Commitment to patient- and family-centered care
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Ability to prioritize and manage multiple responsibilities effectively
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Proficiency with electronic medical records and Microsoft Office applications
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Collaborative mindset and ability to thrive within interdisciplinary teams
PeaceHealth is committed to supporting caregivers in every aspect of life: physical, emotional, financial, social, and spiritual. Eligible caregivers enjoy a comprehensive rewards package that includes:
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Medical, dental, and vision coverage
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Generous paid time off
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403(b) retirement plan with employer contributions and matching opportunities
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Employer-paid life and disability insurance
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Tuition reimbursement and continuing education support
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Wellness programs and resources
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Expanded Employee Assistance Program (EAP)
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Mental health and emotional well-being support
At PeaceHealth, every caregiver plays a vital role in delivering compassionate care and improving the health of the communities we serve. If you're looking for an opportunity to make a meaningful difference while growing your career in care management, we encourage you to apply today.
For full consideration, please submit a current resume with your application.
PeaceHealth is an Equal Opportunity Employer committed to inclusivity, respect for diversity, and cultural humility. We welcome applications from all qualified candidates, including protected veterans and individuals with disabilities.
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