Job Description

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Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Works with physician, Social Worker and interdisciplinary team to facilitate clinical pathways and achievement of desired treatment outcomes. Promotes interdisciplinary collaboration and champions service excellence. Works collaboratively to ensure patient needs are met and care delivery is coordinated across the continuum at the appropriate level of care.

Providence caregivers are not simply valued - they\'re invaluable. Join our team at Covenant Health Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• Bachelor\'s Degree required for RN Clinical Audit and Denial Care Manager: Nursing.
• Texas Registered Nurse License upon hire - if practicing within this state, Or
• Care Manager RN Auditor, Care Manager RN Clinical Audit and Denial, and Care Manager RN Clinical Audit and Denial - Unit Educator an Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification within 2 years of hire.

Preferred Qualifications:

• Bachelor\'s Degree in Nursing/healthcare related field.
• 3 years of Direct patient care experience in an acute care hospital in a leadership role.
• Case management or utilization management experience.

Why Join Providence?

Our are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our of caring for everyone, especially the most vulnerable in our communities.

About Us: At Providence, our strength lies in Our Promise of \xe2\x80\x9cKnow me, care for me, ease my way.\xe2\x80\x9d Working at our family of organizations means that regardless of your role, we\'ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our for more information about our Benefits and Rewards.

About the Team: Since 1918, Covenant has been driven by a mission of providing a Christian ministry of healing and caring for the whole person through our integrated health network in West Texas/eastern New Mexico. As an expression of our mission, we believe we hold an important Covenant with our patients and try and treat every interaction as Sacred Encounters.

Our award-winning and comprehensive medical centers are located in the cities of Lubbock, Levelland, Plainview and Hobbs. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, outreach programs, hospice and home care, and even schools for nursing and radiography.

Providence is proud to be an . We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment 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. We believe makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Providence Health & Services