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

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Posted: 09/11/2017

Job Status: Full Time

Job Reference #: 103463

Job Description

Transitional Care Services - Care Management

Full Time


Job Details:
  • Do you have a passion for Nurse Care Management and a dream to provide outstanding leadership and exceed service standards? Join the Kootenai Health team today as our new Manager of Nurse Care Management!

    Kootenai Health is looking for a strong, community-minded, and driven leader for our fast-growing Care Management Team. If you are team oriented, forward thinking, patient focused, and have experience in RN Case Management, you may be our new Manager of Nurse Care Management!

    In this role, you will be responsible for the daily operations of the Care Management Team including utilization review, denials and appeals, care coordination, and medical discharge planning. You will focus your team's efforts around identifying barriers to care progression along with developing and executing timely discharge plans to optimize clinical outcomes. You will work to promote and mentor employees through continual advancement and tailored professional development opportunities and lead performance improvement initiatives with key members of the organization for utilization processes, trends and regulatory requirements of utilization management. Additionally, you will establish appropriate staffing levels and work assignments, developing performance criteria for staff and 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. Your work will facilitate processes that connect inpatient care coordination with ambulatory care coordination programs. You will build and maintain strong collaborations among care coordination services with the Kootenai Care Network, ambulatory clinics, and post-acute facilities. At the end of the day, you can take pride in being a part of a healthy, growing and high functioning organization and team that is making a direct difference in the lives of those you're supporting.

    If you feel like you are a great fit for the role and our team, you will need:

  • To be a 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 maintain 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 and has no intention of going forward
    • Kootenai Health 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
    • We maintain positive employee/supervisor relationships
    • We offer great benefits, which are no cost to full-time employees
    • We offer a robust Employee Assistance Program
    • We provide a 457 Employee Retirement Plan
    • And so much more

    At Kootenai Health we work to provide superior care management for our community...we also work for sushi Wednesday's!

    To learn more about this opportunity, contact me, Julie Pickup at 208-625-4621 or email me at

    We consider applicants for all positions without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, or any other legally protected status.

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