RN Care Manager

3 weeks ago


Gurnee, Illinois, United States NorthShore University HealthSystem Full time
Job Summary

We are seeking a skilled RN Care Manager to join our team at NorthShore University HealthSystem. As a key member of our interdisciplinary team, you will be responsible for providing comprehensive case management and utilization management services to patients across various clinical areas.

Key Responsibilities
  • Conduct admission reviews and continued stay reviews to ensure optimal patient care and resource utilization
  • Collaborate with insurance companies to provide clinical information supporting admissions and continued hospital stays
  • Refer cases to the Physician Advisor for further review and guidance
  • Collect and analyze QA and Avoidable Days data to inform quality improvement initiatives
Requirements
  • Bachelor's degree in Nursing from an NLN-accredited school of nursing
  • Minimum 2 years of clinical nursing experience, with a preference for experience in utilization review, discharge planning, case management, or disease management
  • Knowledge of InterQual or MCG criteria is preferred
  • Clinical certification, such as case management certification, is beneficial
What We Offer
  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A comprehensive benefits package, including medical, dental, and vision options
  • Tuition reimbursement and wellness program savings plan
  • Free parking at designated locations and community involvement opportunities

At NorthShore University HealthSystem, we are committed to delivering high-quality, patient-centered care. If you are a motivated and compassionate RN with a passion for case management, we encourage you to apply for this exciting opportunity.



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