Job DescriptionThe Case Manager, Clinical Quality Investigations, is an expert consultant, investigator, case manager and delegate of Swedish Medical Center's Board for hospital and hospital-based outpatient clinical care grievances. This person operates in a high-volume, high-stress environment and has multi-campus responsibility to ensure that clinical care grievances are responded to and documented in compliance with Swedish Medical Center policy and in accordance with requirements of external regulatory agencies, including The Joint Commission, Det Norske Veritas, The Center for Medicare/Medicaid Services, and the Washington State Department of Health.
Required Qualifications: - 5 years as a clinician in a healthcare setting with at least two of those years being in management, education, or related to clinical quality; or a graduate degree and at least 10 years of experience in a quality investigation position considered in lieu of no clinical education.
- Working with individuals in distress and in developing quality improvement initiatives in healthcare.
- Investigation, including review of medical documents and interpersonal interactions.
- Managing upward and accomplishing desired results.
- Experience in effective verbal communication both in large groups and one to one settings.
- Documented experience in composing clear written communication with grammatical accuracy and appropriate, professional tone.
Preferred Qualifications: - Bachelor's Degree in Nursing, Or Bachelors or Masters Degree in related field accompanied by relevant experience considered (see Experience and Skills qualifications).
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts 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.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
About the TeamProvidence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Whether through physician clinics, education, research and innovation or other outreach, we're dedicated to improving the wellbeing of rural and urban communities by expanding access to quality health care for all.
