RN Care Manager
Seattle, WA
Modern Healthcare Solutions
5x8 hrs, Days
Referral Bonus

Position: Resident Nurse Care Manager

Profession: Registered Nurse

Specialty: Case Manager

Shift Details

Schedule: Day 5x8-Hour (08:00 - 16:30)

Block Schedules: No

Qualifications

• Years of Experience: 1 year(s)
• Travel Experience Required: No
• Certifications Preferred: BLS

Skills

• Case Management / Utilization Review
• Admission Criteria
• Care Coordination
• Discharge Planning
• Utilization of InterQual Criteria
• Utilization of Milliman Guidelines
• Utilization Review
• Regulatory Knowledge (CMS: Centers for Medicare and Medicaid Services)

Work Settings

Long Term Acute Care / Rehab / Skilled Nursing

Additional Information

• Pre-Approved Time Off: None
• Patient Age Groups: Geriatrics
• Interdisciplinary Support: Phlebotomy
• Special Procedures: Experience with either Milliman Guidelines or InterQual Criteria required

Job Description

The Resident Nurse Care Manager (RNCM) is responsible for establishing a comprehensive care practice that entails patient assessments, care planning, implementation, coordination, and ongoing evaluation to ensure both medically and financially appropriate care is provided. Key responsibilities include:

• Facilitating interdisciplinary team care coordination.
• Managing the care of participants recently discharged from acute care centers and skilled nursing facilities.
• Collaborating closely with the interdisciplinary team, including Social Workers and Physicians, to collect essential medical and social information.
• Conducting assessments at participant residences when necessary, with mileage reimbursement provided for travel.

This position is primarily on-site, with occasional community visits required.

Program Overview

The role is part of a Program of All-Inclusive Care for the Elderly (PACE) focused on keeping older adults as healthy as possible while living in the community through clinics, home visits, and additional services.

Requirements

• Must be open to transitioning to a permanent position after the initial contract period.
• Experience with the geriatric population is highly preferred.
• First-time candidates are welcome to apply.
• Weekend availability is not required.
• No on-call duties are expected.
• Floating between units is not required.
• Local candidates are welcome, but relocation is not mandatory.
• Pending state license accepted.

Facility Highlights

Type of Facility: Adult Outpatient Care Program

Charting System: EPIC