Sep 17, 2020

Manager Care Management - Utilization Review

  • Providence St. Joseph Health
  • Olympia, WA, USA

Job Description


Providence Health Services is calling a Manager Care Management (Full time, Day Shift) in Utilization Review, Providence St. Peter Hospital in Olympia, WA.

Manage the Care Management Department to support the acute care operation SW care management services. Responsible for resource management, customer relations and operational standards which include case management, utilization management and transition of care. Provides the leadership and direction to care management staff, such as RNs, MSWs, and other support staff. Develops programs and processes that support the integrated care of patients to ensure that their care can be optimally supported by the medical, social, and community resources available to them. Oversees the care management planning process to ensure safe, supportive, and timely service for patients ensuring coordination of care. Maintains knowledge of applicable regulations and rules that affect the provision of services.

Adheres to all budgetary and productivity goals/standards. Ensures the attainment of department and hospital goals, policies and procedures. The Manager promotes interdisciplinary collaboration, fosters teamwork, and champions service excellence, and facilitates excellent communication, collaboration and safe transitions in care.

In this position you will:

  • Manages human resources functions.
  • Meets or exceed department financial goals.
  • Manages customer issues and concerns.
  • Manages operational standards.
  • Other duties as assigned.


Required qualifications for this position include:

  • Bachelor's Degree in Nursing
  • 10 or more years Multidisciplinary clinical experience including 4 years case management experience and 2 years management level experience.
  • Experience in utilization management, case management, discharge planning, disease management and other cost/quality management program.
  • Background in business planning and targeted clinical outcomes.Experience in change management.
  • Registered nurse with current license to practice professional nursing in the State of Washington.
  • Certificate in Case Manager (CCM) or Accredited Case Manager (ACM) preferred.

Preferred qualifications for this position include:

  • Master's Degree Or Masters program in progress.

About the hospital you will serve.

Providence Centralia Hospital in Centralia, Washington is a 127-bed, not-for-profit hospital providing emergency, diagnostic, cancer, birthing and surgical services. It consistently receives high scores on accreditation surveys by the Joint Commission, the Washington Department of Health and the Washington Department of Social and Health Services

We offer a full comprehensive range of benefits - see our website for details

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. 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.

Schedule: Full-time

Shift: Day

Job Category: Quality Nursing

Location: Washington-Olympia

Req ID: 256030