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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.
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 preferred
3 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: 
  2017 Gallup Great Workplace Award - Kootenai Health has been recognized as one of the most engaged and productive workforces in the world!
  Magnet Status - Kootenai has maintained MagnetTM status since 2006. This designation is nursing's top honor, accepted nationally as the gold standard in nursing excellence
  Member of the Mayo Clinic Care Network - We became the 30th member in 2014.
  We have a convenient employee only Child Day Care - with-in walking distance.
  We have incredible benefits - If you work full time, your medical, dental and vision insurance premiums are fully paid.
  We offer a generous 457 Investment plan through Fidelity with a match of 3-6% based on your years of service and a Defined Contribution account which puts 2% of your annual income into a retirement account for you.
 We have an award-winning Wellness Plan, which offers discounts to local gyms and groups to join to meet your fitness/wellness lifestyle.
We have a lot more to offer, but don't want to give it all away here, we do like to have a few surprises up our sleeve.
Transitional Care Services - Care Management
Full Time
Kootenai Health
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Posted May 02, 2017

  • Canada
  • United States
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