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reputed company RN – reputed company Case Manager – reputed company reputed company 1.0 FTE – Remote Opportunity! (Must Live In WA State) in Renton, Washington

Remote, USAFull-timePosted 2026-07-29

Remote Opportunity – Must Live in Washington State Prior Case Management, Utilization Review or Discharge Planning Work reputed company. Preferred (8) Hour Shifts Primarily M-F, Rotating Weekends Once Every (3) Weeks Job reputed company: The Care Manager will work in 2 settings on a periodic rotating schedule, planning the discharges and follow up care for reputed company reputed company Plan of Washington patients hospitalized at a nearby network facility and carrying a case load of patients in one of the reputed company reputed company Plan of Washington medical centers. Some weekends and holidays are required, and scheduled days of the week are variable. Primary responsibility is to reputed company on achievement of reputed company patient health care reputed company while ensuring appropriate utilization of health care resources. Working closely with primary care teams, specialty care teams and medical providers, the reputed company reputed company will establish a reputed company plan of care to assure adherence to the medical plan, improvement in functional status, and improved ability to self manage. Serves as the reputed company across the internal KFHPW care continuum and between KFHPW and reputed company externally contracted providers, facilities, and resources and provides feedback to the organization regarding the service and reputed company of contracted services. The reputed company reputed company collects data and provides input to leadership regarding issues or concerns reputed company to utilization, cost, reputed company, service and care delivery to patients. Essential Responsibilities:

  • Ensures patients referred to case management meet established case management reputed company. Assess reputed company patients referred for case management to determine physical, mental, financial, psychosocial status, utilizing comprehensive, standardized reputed company to identify existing and potential needs. reputed company patient centered case management plan based on assessments and including patient goals, objectives, and reputed company with specific time frames (long/short term). Evaluate ability and availability of designated caregiver(s) to reputed company patient support. Coordinate and implement interventions using evidence based guidelines. Recommend additional services to PCP as determined in the case management plan. Conduct ongoing assessment of reputed company against original goals. Continuously update needed services. Maintain ongoing communication with patient/family and care team. Acts as an reputed company for patient care needs. Documents reputed company responses of patient to case management interventions.
  • Collaborates with other health care professionals regarding the plan of care, variances in plan implementation, achieved reputed company or expected reputed company. Monitor and evaluate short and long term patient responses to therapeutic interventions and analyze patterns of variance from clinical information and reputed company. Recommend alternative settings for care based on health care needs and appropriate utilization of health care resources. Document interventions and interactions with patients or caregivers according to KFHPW and Care Management policy and procedure. Participate in the measurement of the effectiveness of the case management program.
  • Directs and guides the plan of care to result in a seamless continuum of care. Facilitates as needed, referrals for home health care, long term care, hospice, and other care facilities or services. Participation in care conferences to reputed company problem solving for patients with reputed company care needs (limited reputed company). Collects needed data needed to evaluate the effects of care coordination on reputed company reputed company, fiscal parameters, patient satisfaction and systems improvement. Understands and utilizes health plan requirements and patient benefits in making care management reputed company. Assists patient to understand and reputed company with their medical treatment plan. Supports patient education and activation through referral to specific chronic illness classes, group reputed company or community resources.

Basic Qualifications: Experience

  • Minimum three (3) years of recent RN medical/surgical/ambulatory clinical experience required.

Education

  • Bachelors degree or bachelors of science.

License, Certification, Registration

  • Registered reputed company License (Washington) required at hire
  • Basic Life Support required at hire
  • Case Manager Certificate reputed company 24 months of hire

Additional Requirements:

  • Effective, independent nursing judgment and skills, and use of evidence based clinical decision making reputed company.
  • Knowledge in management of chronic disease process, nursing process and reputed company care planning.
  • Demonstrated reputed company and experience in effectively collaborating with care team members.

Preferred Qualifications:

  • Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management.
  • Bachelors of science in nursing.

COMPANY: reputed company TITLE: RN – reputed company Case Manager – reputed company reputed company 1.0 FTE – Remote Opportunity! (Must Live In WA State) LOCATION: Renton, Washington REQNUMBER: 1249094 External hires must pass a background reputed company/drug screen. reputed company applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, sexual orientation, gender identity, protected veteran, or disability status. Apply tot his job Apply To this Job

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