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Case Manager

2 months ago

Evanston, United States TBG | The Bachrach Group Full time

We are hiring a Full-Time permanent Case Manager to work onsite in a Hospital setting near Chicago, IL 60660.


Responsibilities:

  • Coordinate and facilitate patient care with the ICT team.
  • Monitor patients throughout their care journey, ensuring optimal resource use and compliance.
  • Provide support through assessment, care planning, implementation, and evaluation.
  • Enhance patient management and satisfaction by integrating case management, utilization review, and discharge planning.


Qualifications:

  • Education: Graduate of an accredited program required:
  • RN, BSN preferred; or
  • Master of Social Work with licensure as required by state regulations; or
  • Bachelor of Social Work with licensure as required by state regulations
  • Licenses/Certification: Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations. Certification in Case Management preferred.

Experience:

  • Two years of experience in an inpatient setting preferred.
  • Prefer prior experience in case management, utilization review, or discharge planning.


Essential Functions:

  • Care Coordination: Coordinate clinical and psycho-social activities with the Interdisciplinary Team and Physicians.
  • Monitor patient stays for effective care coordination and facilitation.
  • Stay updated on reimbursement, community resources, case management, psychosocial, and legal issues.
  • Refer high-risk patients for additional support.
  • Advocate for patients, enhancing collaborative relationships for informed decision-making.
  • Provide age-appropriate care based on growth and development principles.
  • Participate in interdisciplinary rounds/conferences to review goals, optimize resources, educate families, and identify post-hospital needs.
  • Collaborate with clinical staff on care plans and goal achievement.
  • Coordinate care planning with the interdisciplinary team, physicians, patients, families, post-acute providers, payors, and others.


Discharge Planning:

  • Conduct ongoing patient assessments for timely and safe discharge planning.
  • Develop and execute effective discharge plans using critical thinking.
  • Coordinate and communicate efficiently with patients and families.


Knowledge/Skills/Abilities/Expectations:

  • Knowledge of payor practices, regulations, standards, reimbursement, Medicare benefits, insurance processes, and accreditation standards.
  • Critical thinking, prioritization, and time management skills.
  • Fluent in English (reading, writing, speaking).
  • Basic computer skills, including Microsoft Office.
  • Excellent interpersonal, verbal, and written communication skills.
  • Good interpersonal skills with patients, families, and staff.
  • No travel required.
  • Performs other related duties as assigned.