Case Manager
4 weeks ago
The RN Case Manager integrates and coordinates the clinical care of individuals. Facilitates the interdisciplinary plan of care in order to meet multiple service needs, promotes continuity through elimination of fragmentation of care/service and facilitates the effective utilization of resources. Serves as educator and a central source of communication for the individual and their support systems.
Qualifications
EDUCATION REQUIREMENTS
Bachelor‘s in Science of Nursing
CERTIFICATION & LICENSURE REQUIREMENTS
Registered Professional Nurse (RN) License in state of Illinois upon hire.
ADDITIONAL REQUIREMENTS
- Use of usual and customary equipment used to perform essential functions of the position.
- Work will require travel to all 3 Carle Health hospitals.
- Required to drive your own vehicle for business purposes.
SKILLS AND KNOWLEDGE
Writes, reads, comprehends and speaks fluent English.Basic computer knowledge using word processing, spreadsheet, email and web browser.
Responsibilities
- Care Coordination * Screens 100% of adult Medical Surgical In-patient and observation patients and assesses the individual‘s health status including clinical conditions, support systems and resources to identify needs and make referrals to appropriate multi-disciplinary services. * Prioritizes patients for care coordination based on defined criteria.* Monitors and coordinates an interdisciplinary plan of care in partnership with the individual and their support services for needs and services across the health care continuum and for transition through the levels and locations of care. * Assumes accountability for the development and implementation of an effective discharge plan for complex care patients. Works with internal and external resources to co-ordinate a timely safe transition of patient to the appropriate level of care. * Leads and participates with the interdisciplinary team in daily rounds, planning delivery and evaluation of patient-focused care for prioritized patients.* Documents the case management plan to include: clinical needs, barriers to quality care, effective utilization of resources and pursues denials of payment and referrals in a timely, legible manner. * Completes tighter integration with ambulatory care management team, especially with high risk, chronically ill patients.* Standardizes alert to cross continuum care managers when patients are admitted* Works closely with providers for discharge planning and determining the next level of care * Collaborates with patients, caregivers, internal/external healthcare providers, agencies and payers to plan and execute a safe discharge* Collaborates with Utilization Management team on continued stay review.
- Discharge Planning* Collaborates with patients, caregivers, internal/external healthcare providers, agencies and payers to plan and execute a safe discharge* Identifies and facilitate post-acute resource needs: Home Care, Community based Referrals, Diagnostic testing, Outpatient Therapies (Pulmonary Rehab, Cardiac Rehab, Physical and/or Occupational Therapy), Palliative Care or Hospice.* Ensures that the patient‘s degree of vulnerability has been captured and documented on the Transitions of Care report.* Ensures verbal communication with the ambulatory / cross continuum care manager regarding patients who have moderate or red vulnerability at transition. * Documents who will assume the care coordination/management role for these patients and for what period of time in the Common Care Plan and the Transition of Care report, if known.* Reviews the predictive tool for readmission and document the risk for readmission. Implement additional interventions to mitigate the risk for readmission such as two follow-up appointments - one at the time the predictive tool indicates the patient is at highest risk for readmission* Utilizes the med -to-bed program for patients with poly pharmaceuticals
- Education* Communicates patient/family learning needs that surface to the direct care nurse. Collaborate with direct care nurse on education plan. * Refers to content experts as appropriate i.e. wound care team, Diabetic Educators, Respiratory Therapy or PT.* Documents education related to medication adherence* Facilitates patient self-management education.
- Revenue Cycle * Demonstrates a working knowledge of financial and reimbursement processes to facilitate medical cost management, including best practices, effective utilization of resources, linking clinical and financial aspects of care, and access to care and level of care. * Serves as a resource and educator to patient, family, staff and physicians regarding financial aspects of individual patient‘s resources which may affect the transition of patients through the healthcare system. * Provides education for the individual and family and for the team regarding benefits, utilization of resources, levels of care, and expectations of the transition process throughout settings across the hea
About UsFind it here.
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation‘s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world‘s first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee‘s Form I-9 to confirm work authorization. | For more information: .
-
Case Manager
6 days ago
Peoria, United States Sevita Full timeMentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day....
-
Case Management Professional
2 weeks ago
Peoria, Arizona, United States Desktop Labs Full timeJob Description: Desktop Labs is seeking a highly skilled Data Entry Specialist to join our team in Peoria, IL. In this role, you will play a critical part in ensuring the smooth operation of our production system.You will be responsible for accurately and efficiently adding and updating cases, as well as communicating with dental offices regarding...
-
Behavioral Health Case Manager
2 weeks ago
Peoria, Illinois, United States Carle Health Full timeAt Carle Health, we are seeking a highly skilled Behavioral Health Case Manager to join our team. As a Behavioral Health Case Manager, you will provide case management, support, education, and consultation for individuals experiencing behavioral health concerns.We offer a competitive salary of $55,000 - $65,000 per year, based on experience and...
-
Clinical Case Manager
2 weeks ago
Peoria, Illinois, United States BrightSpring Health Services Full timedescriptions。About the Job OpportunityWe are seeking a skilled Clinical Case Manager to join our team at BrightSpring Health Services. As a vital member of our multidisciplinary team, you will provide clinical and administrative support to ensure seamless delivery of behavioral services to consumers. Your expertise in case management and ABA will enable...
-
ED RN Case Manager
1 month ago
Peoria, United States OSF Healthcare Full timeOverview Minimum pay for this position is $33.91 hour. Actual pay is based on years of licensure. Comprehensive Benefit Package * BCBS Medical, Dental, Vision, 401K with 5% match, and more. POSITION SUMMARY: The ED RN Case Manager is responsible for identifying, assessing, planning and coordinating, implementing, monitoring and evaluating options and...
-
Nurse Case Manager
3 weeks ago
Peoria, Illinois, United States Carle Health Full timeNurse Case Manager OpportunityWe are seeking a highly motivated and experienced Registered Nurse (RN) to join our team as a Weekend Call Nurse. This is an excellent chance to work independently, think critically, and provide outstanding nursing care to patients in their homes. As a Weekend Call Nurse, you will be responsible for triaging patient calls,...
-
Peoria, Illinois, United States OSF Healthcare Full timeOverviewOSF HealthCare is a leading healthcare provider dedicated to delivering high-quality patient care. As a RN Case Manager - Inpatient, you will play a critical role in ensuring that patients receive the best possible care across the continuum of their healthcare journey.Salary and BenefitsThe estimated annual salary for this position is $69,928, based...
-
Case Manager
1 month ago
Peoria, IL, United States Sevita Full timeMentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day....
-
Peoria, Arizona, United States Zack Group Full timeZack Group is a leading medical staffing agency with over 25 years of experience in providing high-quality nursing professionals to top-tier healthcare facilities.As a Medical Case Manager RN, you will be responsible for managing patient care and ensuring the best possible outcomes. This travel position is located in Peoria, Arizona, and offers a competitive...
-
Nurse Case Manager for End-of-Life Care
1 week ago
Peoria, Arizona, United States Aegis Healthcare Full timeAegis Healthcare is growing its Home Health & Hospice Nursing Teams and seeks a dedicated RN Case Manager to join our team. This is a full-time position available between 8am - 5pm, Monday - Friday, with opportunities for flexible scheduling.About the RoleIn this role, you will be responsible for coordinating patient care delivery, managing resources, and...
-
RN Case Manager Inpatient
2 months ago
Peoria, IL, United States OSF Healthcare Full timeOverview Minimum pay for this position is $33.91 hour. Actual pay is based on years of licensure Comprehensive Benefit Package * BCBS Medical, Dental, Vision, 401K with 5% match, and more. POSITION SUMMARY: The RN Case Manager - Inpatient is responsible for identifying, assessing, planning, and coordinating, implementing, monitoring, and evaluating options...
-
Peoria, Illinois, United States TotalMed Case Management Staffing Full timeWe are seeking a skilled and dedicated Registered Nurse to join our team as a Home Health professional. With a focus on delivering exceptional patient care, this opportunity is ideal for individuals who thrive in fast-paced environments and are passionate about making a difference in the lives of others.About TotalMed Case Management StaffingTotalMed Case...
-
Peoria, Illinois, United States OSF Healthcare Full timeCompany OverviewOSF HealthCare is a leading healthcare provider dedicated to delivering high-quality patient care and exceptional services.Estimated Salary: $33.91 per hour, with opportunities for growth based on experience and licensure.Job DescriptionThe RN Case Manager - Inpatient is a vital role that requires strong clinical expertise and coordination...
-
RN Case Manager
2 months ago
Peoria, United States Aegis Healthcare Full timeRN Case Manager (Home Health and Hospice) w/ Flexible Schedules Aegis Healthcare is growing our Home Health & Hospice Nursing Teams. If you value schedule flexibility (create your own schedules), feeling supported and respected at work (you'll know when you meet us), want an excellent selection of benefits, and want to be surrounded by co-workers who are...
-
Healthcare Case Manager
1 week ago
Peoria, Arizona, United States Aegis Healthcare Full timeBenefitsFull-Time RN's can easily make $85K+22 days of PTO, Medical, Dental, Vision, 401(k) + Matching, Life, accident, and disability insurance options, and referral bonusesMileage Reimbursement & some can even use a company carTech Provided: iPad, Gear Provided: Nurse Bag & Supplies, Branded Scrubs
-
Registered Nurse
1 day ago
Peoria, IL, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Peoria, Illinois. Specialty: Home Health ~ Shift: 8 hours, days ~ Employment Type: Travel We are seeking a Registered Nurse-Home Health for a travel assignment in Peoria Illinois. Pay package is based on 8 hour shifts and 40 hours per week...
-
Pain Management Nurse Practitioner
4 weeks ago
Peoria, United States Ascend Medical Staffing Full timePosition: Pain Management APPLocation: Peoria, IlHours: M-F 7:30a-4:00p, No call, weekends, holidays, or nightsSetting: Clinic Patient population: Adult, Geriatrics, Medicare, MedicaidAverage number of cases per day: 20-22 Requriements:BLS, ACLSIL State Medical LicenseCSR LicenseDEA Required If interested, please reach outAaron CulpepperAscend Medical
-
FOIA Disclosure Product Manager
7 hours ago
Peoria, United States Contact Government Services, LLC Full timeFOIA Disclosure Product Manager Employment Type: Full-Time, Experienced Department: Information Technology CGS is seeking a FOIA Disclosure Product Manager to join our team supporting the IT mission of a large federal agency. This position will allow candidates to demonstrate expertise in performing product management and product marketing tasks. CGS brings...
-
Project Manager
7 days ago
Peoria, United States EPITEC Full timeEpitecPOSITION:Project Manager/Scrum MasterJOB TYPE:W2, Hybrid, Full-time ongoing contractLOCATION:Decatur, ILJOB SUMMARY FOR PROJECT MANAGER/SCRUM MASTER:We are seeking a Project Manager/Scrum Master to join our leading client's team.The primary purpose of the Project Manager/Scrum Master is to ensure that the team and associate scrum masters are actively...
-
Project Manager
3 weeks ago
Peoria, United States EPITEC Full timeEpitecPOSITION:Project Manager/Scrum MasterJOB TYPE:W2, Hybrid, Full-time ongoing contractLOCATION:Decatur, ILJOB SUMMARY FOR PROJECT MANAGER/SCRUM MASTER:We are seeking a Project Manager/Scrum Master to join our leading client's team.The primary purpose of the Project Manager/Scrum Master is to ensure that the team and associate scrum masters are actively...
