Case Manager RN - Providence Medical Center

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Providence Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Providence Medical Center, located near I-435 and Parallel Pkwy in Kansas City, Kansas, offers an extensive array of diagnostic and medical care. Key services include nationally recognized cardiovascular care, critical care, surgery, neurosurgery, orthopedics, pulmonary services, 24/7 emergency services and wound care center. The hospital is accredited by The Joint Commission and is a member of Prime Healthcare.  For more information visit www.providencekc.com or call 913-596-4000.

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

The Case Manager is responsible for overseeing the quality and resource management of all patients admitted to the facility, guiding them through the entire continuum of care. Acting as an advocate, the Case Manager promotes cost containment and demonstrates leadership in integrating healthcare providers to ensure a seamless delivery of care. This role focuses on facilitating quality, clinical, and cost-effective outcomes while conducting comprehensive admissions and concurrent reviews of medical records to assess medical necessity, service intensity, and severity of illness.

Education and Work Experience

1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
4. Current BCLS (AHA) certificate, preferred.
5. Knowledge of Milliman Criteria and InterQual Criteria preferred.
6. Experience and knowledge in basic to intermediate computer skills.
7. Behavioral Violence Prevention Training within 3 months of hires and maintain current.

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