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Sunrise over Glacier National Park near Missoula, Montana.

Job Information

Providence Health & Services RN Case Manager - Utilization Review in Missoula, Montana

Description:

Providence is calling a RN Case Manager (Utilization Review, Day Shift, 1.0 FTE) to Providence St. Patrick Hospital in Missoula, Montana. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable.

In this position you will:

  • Address variance findings through research, planning and system improvement using IDT approach incorporating LEAN/established change methodologies. Participates in identified LEAN/change activities.

  • Collaborate with UR/UM to track potential savings related to negotiated service arrangements.

  • Continuously assess, develop, and implement discharge patient/family needs and work with appropriate healthcare provider to procure necessary services.

  • Coordinate finalization of all discharge related recommendations.

  • Demonstrate caring and involved behaviors to patient/family members and play an advocacy role to ensure positive outcomes.

  • Develop and direct continuum of care map in collaboration with interdisciplinary team.

  • Document avoidable days/delays with attributions as evidenced by Meditech audit reports on quarterly basis.

Qualifications:

Required qualifications for this position include:

  • Graduate of an accredited school of nursing.

  • Current licensure as a Registered Nurse in the State of Montana.

  • One year of clinical nursing experience.

Preferred qualifications for this position include:

  • Current Case Manager Certification preferred.

  • Three years of clinical nursing experience.

  • Hospital case management experience.

About the hospital you will serve.

Providence St. Patrick Hospital in Missoula, Montana has more than 250 licensed beds and serves patients from 17 counties. We have been recognized as a Thomson Reuters Top 100 Hospital and among many other awards, have earned the Premier Award for Quality award repeatedly. Missoula is halfway between Yellowstone and Glacier National Park. It is a university city of 65,000, surrounded by big sky, scenic mountains, forests and renowned rivers.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. 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.

Schedule: Full-time

Shift: Day

Job Category: Case Management

Location: Montana-Missoula

Req ID: 255651

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