Job: Manager, Nurse Care Management - Transitional Care Services - Care Management

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Posted: 11/06/2017

Job Status: Full Time

Job Reference #: 103463

Job Description

Transitional Care Services - Care Management

Full Time


Job Details:
  • Take your Leadership Skills to the next level - Kootenai Health is looking for a strong, community-minded, and driven leader for a fast growing Care Management department. We are actively recruiting for a Manager, Nurse Care Management.

    You will be responsible for the daily operations of the Care Management department including utilization review, denials and appeals, care coordination, and medical discharge planning. You focus your teams around identifying barriers to care progression along with developing and executing timely discharge plans to optimize clinical outcomes within standard methodology. Promotes and mentors team knowledge through the continual advancement of skills necessary for their professional development. You lead performance improvement initiatives with key members of the organization for utilization processes, trends and regulatory requirements of utilization management. Facilitates processes that connect the inpatient care coordination with the ambulatory care coordination programs. Responsible for strong collaboration of care coordination services with the Kootenai Care Network, ambulatory clinics and post-acute facilities. Responsible for establishing appropriate staffing levels and work assignment's, developing performance criteria for staff, serving as an expert resource for regulatory compliance, policies, and operational procedures. You will partner with professionals from multiple disciplines assuring quality patient care coordination is at an optimum across the continuum and at a resource-appropriate level of care. At the end of the day, you can have the opportunity to take pride in being a part of a healthy, growing and high functioning organization.

    As you are reading, are you thinking this is you? Great - here are a few more items to check off the "This is Me" list:

  • Licensed R.N in the state of Idaho. BSN required, Masters preferred
  • ACM or CCM certification preferred
  • 5 years' acute hospital experience as direct care clinician or case manager and 1 year experience in non-hospital based health care required
  • 5 years' supervisory or management experience required
  • Demonstrated knowledge of laws or regulations pertaining to the utilization review, reimbursement programs, quality and financial outcomes of patient care processes and accreditation required Knowledge of insurance, coding, compliance practices and data analysis required
  • Computer skills in Microsoft office and ability to learn multiple operating systems is required
  • Previous experience in utilization management, case management, project implementation, insurance practices and regulatory compliance preferred
  • Give Kootenai Health a try! Not just a pretty place, we also have:

    • We have a full spectrum of employee reward, recognition, and retention programs
    • We are financially stable - Most district hospitals such as Kootenai Health receive financial support from local taxes. Because of its careful financial planning and management, Kootenai has not levied taxes since 1995.
    • Received "The Best Place to Work in Large Healthcare Organizations, " and considered one of the nation's top 20 "Best Places to Work in Healthcare."
    • We support workplace health and wellness initiatives - In 2009, Kootenai received the Wellness Councils of America's Gold National Well Workplace designation
    • We have outstanding training and educational opportunities
    • Positive employee/supervisor relationships
    • Great Benefits -
    • Life Insurance
    • Long Term Disability
    • EAP
    • 457 Employee Investment Plan

    And so much more - don't want to give it all away!

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