Providence RN Case Manager in Torrance, California
Providence is calling a Case Manager (RN) - Utilization Care Management Office (Full-Time/Day Shift) at Providence Little Company Of Mary Torrance Hospital in Torrance, CA.
$20,000 Sign-On Bonus Eligible to External Candidates!
Please upload a current resume reflecting all relevant experience.
Apply today! Applicants that meet qualifications will receive a text with additional questions from our MODERN HIRE system.
We are seeking a Case Manager (RN) - Utilization Care Management Office who will perform the primary functions of assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care professionals involved in the client's care.
In this position you will:
Consider evidenced-based protocols for new patients
Keep running problem sheet on the patient, so hand-offs are easy
Diagnostics to be reviewed or ordered
Interactions with sub-specialists
Post-acute options and confirmation of targeted transition
Accuracy and completeness of medical documentation
Start the discharge planning on admission to evaluate probable post-acute needs and target a transition date
Be responsible for established Ministry and Regional metrics. Monitoring specific CM/SW outcomes
Participate in regional and system directives
Conducting a comprehensive assessment of the client’s health and psychosocial needs, including health literacy status and deficits, and develop a case management plan collaboratively with the client and family or caregiver
Planning with the client, family or caregiver, the primary care physician/ provider, other health care providers, the payer, and the community, to maximize health care responses, quality, and cost effective outcomes
Facilitating communication and coordination between members of the health care team, involving the client in the decision-making process in order to minimize fragmentation in the services
Educating the client, the family or caregiver, and members of the health care delivery team about treatment options, community resources, insurance benefits, psychosocial concerns, case management, etc., so that timely and informed decisions can be made
Empowering the client to problem-solve by exploring options of care, when available, and alternative plans, when necessary, to achieve desired outcomes
Encouraging the appropriate use of health care services and strive to improve quality of care and maintain cost effectiveness on a case-by-case basis
Assisting the client in the safe transitioning of care to the next most appropriate level
Striving to promote client self-advocacy and self-determination
Advocating for both the client and the payer to facilitate positive outcomes for the client, the health care team, and the payer. However, if a conflict arises, the needs of the client must be the priority
California State Registered Nurse License
Two (2) year’s acute hospital experience, including one (1) year of supervisory experience
Strong knowledge base or experience in specialty area assigned
Special Skills/Desirable Qualifications:
Must be tactful and proficient at conflict resolution
Must be able to work well independently and with a team
Judgment must include ability to make accurate, rapid and long-term decisions under pressure
Must be able to project a positive self-image. Must be self-motivated
Must have good oral and written communication skills
Strong leadership, supervision interpersonal and organizational skills
Excellent communication skills, both oral and written
Excellent customer services skills
Strong problem-solving skills and flexibility
Demonstrated ability to work independently and self-directed
Able to plan, organize, prioritize, evaluate and document
Excellent presentation skills
Basic computer skills, Word, Excel, Access and PowerPoint
Knowledge regarding State and Federal regulations, HMO, PPO and Utilization processes
Knowledge of Discharge planning and Case Management
Knowledge of principles and practices of Utilization and Quality Management
Knowledge of CPT, IDC-9 Coding
- Master's Degree in health care related field
About the hospital you will serve.
Providence Little Company of Mary Medical Center Torrance is a 436-bed non-profit hospital that has served the greater South Bay communities of Los Angeles since 1960. We have a reputation for clinical excellence and sophisticated technology while providing care with a personal, healing touch. In addition to the finest general medical, surgical and critical care services, we offer a number of specialty programs including Cardiovascular Services, Women’s and Children’s Health, Oncology, and Emergency Care. We are proud to be named one of the Top 50 U.S. Hospitals for Heart Care by Thomson Reuters, the only community hospital in California to receive this honor. We were one of five hospitals in the United States recognized by American Hospital Association-McKesson for leadership and innovation in quality improvement. We received The Choice Award by AAHCP for Outstanding Customer Service Delivery, and were one of 24 hospitals and health systems in the nation to receive the Premier Award for Quality by the Premier healthcare alliance. As a member of Providence Health & Services, a Catholic-sponsored healthcare ministry, we believe strongly in respecting the dignity of each person, and give special concern to the most vulnerable members of our community.
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.
About the Team
The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.
Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.
We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.
We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.
Requsition ID: 104345
Company: Providence Jobs
Job Category: Care Management
Job Function: Clinical Care
Schedule: Full time
Career Track: Nursing
Department: 7014 LCMT CASE MGMT
Address: CA Torrance 4101 Torrance 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.