Providence Case Manager Patient Care Services (RN) in Santa Monica, California
Case Manager Patient Care Services (RN) - Sjhc Utilization Review at Saint Johns Health Center
Chart review of Medicare, other federally funded, and private insurance patients according to contract requirements using currently approved criteria. The goal is to evaluate the appropriateness of the admission and the continuing levels of care, using established guidelines for quality of care and reimbursement purposes.
Sufficient for license
Current California RN License
2 years of practical nursing experience
Coding and abstracting experience
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 of caring for everyone, especially the most vulnerable in our communities.
About the hospital you will serve:
Providence Saint John’s Health Center in Santa Monica, California, is part of Providence Health & Services, an integrated, not-for-profit network of hospitals, care centers, medical clinics, home health services, affiliated services and educational facilities in the western United States. Founded in 1942, Providence Saint John’s Health Center enjoys a reputation for clinical excellence across many disciplines.
The 266-bed health center has a medical staff of more than 900 physicians, 1,800 employees and a host of volunteers who share a commitment to providing quality care for all.
We offer a full comprehensive range of benefits — see our website for details — http://www.providenceiscalling.jobs/rewards-benefits
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.
Requsition ID: 102885
Company: Providence Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Per-Diem
Job Shift: Day
Career Track: Nursing
Department: 7006 PSJHC CASE MGMT
Address: CA Santa Monica 2121 Santa Monica Blvd
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.