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Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process.
Additional Details:
RTO must be listed at time of submission.
All positions at Providence Health & Services require that any and all lab items requested during onboarding be completed within 72 hours of signing a contract - no exceptions. This means candidates must be responsive and willing to go to a lab to complete health orders ASAP after signing. Failure to comply may lead to a pushed start or cancellation as assessed by the facility.
Required Skills/Experience: Note: 2-year acute Hospital Case Manager experience performing Care Coordination, Discharge Planning in a very fast paced environment. -Required Skills: Work Settings, Acute Hospital, Case Management/Utilization Review, Admission Criteria, Benefits Eligibility, Care coordination, Discharge Planning, Needs Assessment/ Order DME, Plan of Care, Prior Authorizations, Acute Hospital Experience by Specialty, MS, Regulatory, CMS: Centers for Medicare and Medicaid Services, DRG (Diagnosis Related Groups), HIPAA guidelines (Health Insurance Portability and Accountability Act), OSHA: Occupational Safety and Health Administration, The Joint Commission/ Core Measure/National Safety Goals, Additional Skills, Extra checklist required
Preferred Skills/Experience: -Teaching Hospital Experience: Preferred -Community Hospital Experience: Preferred -LTAC Experience: Preferred -Preferred Skills: Ambulatory, Behavioral Health, Home Health, Hospice, Insurance Company, Long Term Acute Care/Rehab/Skilled Nursing, Data Abstraction, Determine Medical Necessity per Evidence-Based Guidelines, Disability case management, Disease management, Utilize InterQual Criteria, Worker’s comp case management, Acute Hospital Experience by Specialty, Behavioral Health, Emergency Department, ICU, NICU, Pediatrics, SDU/PCU/IMC/Obs, CPT (Current Procedural Terminology) coding and billing, Department of Health, ICD 10 Coding, NCQA (National Committee for Quality Assurance), Worker’s Compensation
Required Credentials: Cannot have any hits/suspensions on license or any background hits from any point in the past.
Unit/Facility Details: Parking Cost: Free Parking
Shift & Scheduling: -Weekends Required: 2 weekends every 6 weeks -Call not required
Details:
• AUTO OFFER - NO INTERVIEW: This is an auto-offer position. You will likely not interview with the facility prior to receiving an offer. However, an interview can be arranged upon request. All time off requests must be submitted at application. Scheduling requests must be worked out with the manager directly upon starting the assignment. Any offers for this job will require a clear "Yes" or "No" response from the nurse within 24hrs or the offer must be declined.
Health
(day 1)Dental
(day 1)Vision
(day 1)401k
(opt in)