Clinical Resource Manager Part-Time Days

Job Listing ID:

4467392

Job Title:

Clinical Resource Manager Part-Time Days Application Deadline:

Open Until Filled

Job Location:

Ontario

Date Posted:

04/04/2026

Hours Worked Per Week:

Not Provided Shift:

Not Provided Duration of Job:

Either Full or Part Time, more than 6 months You may contact this employer directly. (Obtain the contact information to print or add to your jobs.)

Job Summary:

Employment Type:

Part time

Shift:

Day Shift Description:

At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.

GENERAL SUMMARY AND PURPOSE

Provides hospital case management/utilization review and discharge planning collaboratively determining level of care needs beyond acute care, providing decision support to patients/families and physicians, managing patient and family expectations, and ensuring a smooth transition to the next level of care and services. Coordinates the integration of social services into patient care as appropriate. Coordinates the hospital activities concerned with case management/utilization review and discharge planning. Adheres to departmental goals, objectives, standards of practice, and policies and procedures. Ensures quality patient care and adheres to regulatory compliance. Provides concurrent assistance and support to physicians and other clinical members of the health care team in coordinating the delivery of services for a select group of patients. To help achieve quality clinical and cost outcomes, incorporates real-time contacts with physicians, nursing, and ancillary care givers to establish specific treatment, cost, and transition targets and to facilitate transition planning.

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE

: Colleague must have an RN license, as defined by their primary work state (Idaho or Oregon)

IDAHO ONLY

Multistate licenses must establish residency with the Idaho Board of Nursing within 60 days from hire. All colleagues must provide licensure or proof of application in process for an Oregon RN license within 90 days of the hire date. BSN required. A master's degree is preferred. A minimum of 2 years of varied hospital clinical experience is required. Experience in case management, home health, and/or the insurance industry preferred.

ESSENTIAL FUNCTIONS

: Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions. Demonstrates knowledge and skills to competently care for all assigned age groups (Neonate, Child, Adolescent, Adult, Geriatric as applicable).

Revenue Management:

ensures the accuracy of documenting services and supplies provided to the patients. Coordinates the integration of social services/case management functions into patient care, discharge, and home planning process with other hospital departments, external service organizations, agencies and healthcare facilities. Completes a screening/assessment of physician assigned cases to determine medical necessity/status determinations and transition needs. Reassesses, monitors, and modifies transition needs as appropriate. Conducts concurrent medical record review using established medical necessity criteria to determine correct level of care for acute patients. Assists physicians with completing transfer and discharge orders. Maintains knowledge of federal, state, and private agency review requirements and regulations. Provides education to all health care team members including physicians regarding requirements to meet regulatory standards. Promotes effective and efficient utilization of clinical resources from admission to discharge. Initiates and presents "denial letters" as appropriate. Completes PASRRs for admission to skilled nursing facilities. Delivers Condition Code 44 letters to patients and educates them on Medicare benefits. Researches and locates resources for patients for example: assi...

Job Classification:

Registered Nurses Access our statewide or regional occupation report for more information about wages, employment outlooks, skills, training programs, related occupations, and more. Compensation

Salary:

Not Provided Job Requirements

Experience Required:

 See Job Summary

Education Required:

None

Minimum Age:

N/A Gender:

N/A