Quick overview
Job description
Manages specific patients throughout their admission to ensure the availability of sufficient clinical and medical center resources. Communicates on a daily basis with medical staff, medical center personnel and outside resources to ensure the appropriate utilization of resources according to clinical and financial standards. Monitors the medical record for variances to clinical and financial standards and intervenes to achieve the optimum outcome for the patient and the medical center. Is able to incorporate risk management and infection control knowledge for the purpose of assisting the healthcare team to achieve a desired outcome. Identifies issues, which expose the organization to liability and financial risk, and assists to minimize the risk by collaborating with management, medical staff and medical center personnel. Provides payor/utilization review organizations with concurrent retrospective utilization review required for reimbursement.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Santa Rosa Memorial Hospital 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:
- Coursework/Training: Environmental Orientation due within 30 days of hire.
- Coursework/Training: Case Management Competency due within 90 days of hire.
- Coursework/Training: General Nurse Competency due within 30 days of hire.
- California Registered Nurse License upon hire.
- 2 years of Acute nursing experience, with evidence of progressive clinical experience preferred, Or
- Case management experience.
Preferred Qualifications:
- Bachelor’s Degree in Nursing upon hired, must obtain BSN within 3 years of date of hire.
- CCM upon hire
- 3 years of Acute nursing experience, with evidence of progressive clinical experience preferred, Or
- Case management experience.
Why Join Providence?
Our best-in-class benefits 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 Mission of caring for everyone, especially the most vulnerable in our communities.
Similar jobs
- TA
Clinical Navigator - PT (Shift: 8:30am - 5:30pm CT)Recently posted Auto Apply
TailorCare · United States · Hybrid 🇺🇸
WorkdayCall CenterCare Coordination+4Salary not listed - PR

Clinical Navigator - Remote Patient Support, License Required, Oncology/Infusion a PlusRecently posted Auto Apply
PRO-spectus · US - remote · Remote 🇺🇸
Microsoft OfficeCRMCare Coordination+5HealthcareSalary not listed - IH
RN Canadian Valley Float PoolRecently posted
INTEGRIS Health · Oklahoma City · On-site 🇺🇸
ACLSBLSMental Health+2HealthcareSalary not listed - IH
RN - EndoscopyRecently posted
INTEGRIS Health · Oklahoma City · On-site 🇺🇸
BLSMental HealthNursing+3HealthcareSalary not listed - IH
RN Supv Nursing - Stroke/Bariatric IMC StepdownRecently posted
INTEGRIS Health · United States · On-site 🇺🇸
BLSInfection ControlMental Health+2HealthcareSalary not listed - IH
Registered Nurse / Neuro Med Surg
INTEGRIS Health · United States · On-site 🇺🇸
BLSMental HealthPatient Care+2HealthcareSalary not listed - IH
RN - Baptist Oncology Med Surg Days
INTEGRIS Health · Oklahoma City · On-site 🇺🇸
BLSMental HealthPatient Care+2HealthcareSalary not listed - IH
RN - Baptist Ortho Med Surg Days
INTEGRIS Health · Oklahoma City · On-site 🇺🇸
BLSMental HealthPatient Care+2HealthcareSalary not listed - PR
RN - Labor and Delivery- O.6 FTE NightRecently posted
Providence · Torrance · On-site 🇺🇸
ACLSBLSNursingHealthcareSalary not listed - PR
RN Progressive Care - FT NightRecently posted
Providence · Mission Hills · On-site 🇺🇸
ACLSBLSNursingHealthcareSalary not listed - PR
RN Progressive Care- FT DayRecently posted
Providence · Mission Hills · On-site 🇺🇸
ACLSBLSNursingHealthcareSalary not listed - PR
Data Abstractor RN - Providence Alaska Medical CenterRecently posted
Providence · Anchorage · On-site 🇺🇸
BLSHealthcareSalary not listed