Come join our Team! Come join Snoqualmie Valley Health, voted the No. 1 Place to Work in 2022!*

Snoqualmie Valley Health is always looking for people who want to make a difference, not just within their team, but also in the community. Possibilities are applauded, Innovation and Creativity are encouraged and the Sharing of Ideas is welcomed.

We want you to love what you do, and to succeed. Our entire hospital will support your work and embrace the energy you bring to SVH.

Located at the base of the Cascades in a pioneering, adventure-loving town, SVH is an independent public hospital district serving Snoqualmie Valley and the greater East King County community.

*Snoqualmie Valley Record Readers Poll, December 2022.

The Patient Transition Services Supervisor is a nursing role that assures health care services on the Medical Unit are administered with quality, cost efficiency, and within compliance. This position oversees the work of referral intake, utilization review, and case management of patients who are in both Swing Bed and Inpatient status. Through ongoing review of patient data, this position ensures the appropriateness of referrals, complete and timely submission of information to payers, oversite of length of stay, and accurate and timely discharge plans. This position will supervise and support processes that contribute to ensuring patients won’t receive unnecessary procedures, ineffective treatment, or unnecessarily extensive hospital stays. This position is responsible for supervising appropriate verification of insurance and compliance with payer contracts and CMS regulations.

Job Duties and Responsibilities:

• Supervise the review of patient referrals for appropriateness of admission
• Concurrent review of patient’s clinical information for efficiency and timely utilization review and communication with payers
• Ongoing review of precertification requests for medical necessity
• Coordinates patient’s discharge planning needs with the healthcare team
• Employ effective use of knowledge, critical thinking, and skills to:
  • Advocate quality care and enhanced quality of life
  • Prevent patient complications during hospital stay
  • Advocate decreased hospital stay when appropriate
• Maintain accurate records of all patient related interactions and provide appropriate and necessary clinical information for the care team
• Assure compliance with payer and CMS guidelines related to inpatient care, discharge planning and length of stay
• Works in collaboration with Rehab team, providers and nursing to assure appropriateness of plan of care
• Work in an intensive, fast-paced environment with minimal supervision
• Ability to stay organized and interact well with others in any situation
• Provide daily updates to Manager of Medical unit and others as appropriate

Skills and Qualifications:

• Bachelor’s degree in nursing
• State licensure as a Registered Nurse (RN)
• Minimum 2 years of prior experience in Utilization Management
• Strong knowledge of word processing and spreadsheet computer programs
• Utilization Management or Case Management certification preferred
• Basic Life Support certification preferred. Must obtain within 60 days of hire if not currently certified

REQUIRED EXPERIENCE : Current experience in a hospital setting working with acute, medically complex patients

ADDITIONAL ELIGIBILITY QUALIFICATIONS : Current RN license required, CPR certification required, ACLS preferred

SKILLS:

• Excellent communication skills
• Time management skills

WORK ENVIRONMENT : Clean, well-lit, air conditioned or heated area. Functioning during emergencies and incidences

OTHER DUTIES – Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

BENEFITS:

We take pride in the benefits package we provide our team members. Snoqualmie Valley Hospital offers you one medical plan with multiple in-network tiers with Snoqualmie Valley Hospital, Eastside Health, and First Choice/First Health providers/network.

• Medical
• Dental
• Vision
• Pharmacy
• Health Reimbursement Account (HRA)
• Life and AD&D
• Retirement Plan
• Employee Assistance Program (EAP)
• Flexible Spending Account (FSA)
• Travel Assistance & ID Theft Protection
• Voluntary Benefits

Eligibility Requirements - Employees regularly scheduled at least 20 hours per week.

Employee Dependents - Your legal spouse or domestic partner, Dependent children until age 26.

Waiting Period - 1st of the month following 30 days from your date of hire.

PLEASE NOTE:

• The COVID vaccine and the Flu shot (during Flu season) are a condition of employment.

• Snoqualmie Valley Hospital is a drug-free workplace. We complete drug screenings as a part of our onboarding process.