Clinical Case Manager

4 weeks ago


Chicago, Illinois, United States Cook County Health and Hospitals Full time

Job Title: Clinical Case Manager

Department: County Care - Health Plan Services

Location: John H. Stroger Hospital

Shift: 8:30 AM - 4:30 PM

Job Summary:

We are seeking a skilled Clinical Case Manager to join our team at Cook County Health and Hospitals System. As a Clinical Case Manager, you will play a critical role in supporting effective and efficient inpatient care while acknowledging patient/family preferences, treatment requirements, and self-care capabilities to determine and appropriate discharge plan.

Responsibilities:

  • Performs an admission review that includes assessing patient status, determining whether the patient's condition meets medical necessity criteria for inpatient care, and identifying significant discharge barriers.
  • Validates pay source and physician orders as necessary.
  • Collaborates with social work colleagues to determine the approach to discharge planning and which discipline is most appropriate to lead.
  • Reassesses patient as clinically indicated or required by payer.
  • Documents authorizations and case notes according to departmental policy.
  • Presents concise, comprehensive reviews of assigned patients during rounding.
  • Identifies concerns regarding quality and risks, reporting them to the supervisor.
  • Interacts with physicians regarding medical necessity, identification of appropriate discharge, disposition, reasonable alternatives, or information necessary to support discharge planning.
  • Participates in Quality Improvement (QI) activities, pilots, workgroups, and other activities to improve departmental operations.

Requirements:

  • Registered Professional Nurse in the State of Illinois.
  • Three (3) years of experience as a Registered Professional Nurse in inpatient care, home care, ED, or patient-centered medical home.
  • Preferred Qualifications: Bachelors of Science in Nursing from an accredited institution, previous experience with administering medical necessity criteria, previous care management experience for patients with multiple chronic disease and acute illness, Accredited Case Manager (ACM) or Certified Case Manager (CCM), bilingual skills in either English/Spanish or English/Polish.

Benefits:

  • Medical, Dental, and Vision Coverage
  • Basic Term Life Insurance
  • Pension Plan and Deferred Compensation Program
  • Employee Assistance Program
  • Paid Holidays, Vacation, and Sick Time
  • You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

How to Apply:

Please submit your application, including your resume and cover letter, to our website. We are an equal opportunity employer and welcome applications from diverse candidates.



  • Chicago, Illinois, United States Heartland Alliance Full time

    Job Summary:Heartland Alliance is seeking a skilled Mental Health Clinical Practitioner to provide specialized services for the Home Study Post Release Services Program. As a key member of our team, you will work under the guidance of a Clinical Supervisor to provide clinical case management and counseling services to clients and their families deemed level...

  • Clinical Case Manager

    4 weeks ago


    Chicago, Illinois, United States Heartland Alliance Full time

    Clinical Case Manager Job SummaryThe Clinical Case Manager will provide specialized clinical case management services to program participants, including intake, outreach, and case management. The ideal candidate will have experience working in a trauma-informed and/or mental health setting, with a strong understanding of Afghan culture and traditions. The...

  • Clinical Case Manager

    4 weeks ago


    Chicago, Illinois, United States Vivent Health Full time

    Unlock Your Potential as a Clinical Case Manager at Vivent HealthAre you passionate about delivering exceptional patient care and making a meaningful impact in the lives of those affected by HIV/AIDS? Do you thrive in a dynamic, interdisciplinary environment where collaboration and innovation drive results? If so, we invite you to explore the exciting...

  • Clinical Case Manager

    4 weeks ago


    Chicago, Illinois, United States Cook County Health and Hospitals Full time

    Job Summary:Cook County Health and Hospitals System is seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a critical role in supporting effective and efficient inpatient care while acknowledging patient/family preferences, treatment requirements, and self-care capabilities to determine and appropriate...


  • Chicago, Illinois, United States Heartland Human Care Serv Full time

    Job DescriptionJob Title: Mental Health Clinical PractitionerLocation: Logan SquareShift: On-Site, Sunday to Thursday (12:00pm to 8:30pm)Summary:Heartland Human Care Services is seeking a compassionate and skilled Mental Health Clinical Practitioner to provide vital clinical case management and counseling services within our Opportunity Youth Programs....


  • Chicago, Illinois, United States UCAN Full time

    Clinical Case Consultant Role SummaryThe Clinical Case Consultant is a vital member of the UCAN team, responsible for providing expert clinical consultation and liaison services to agencies servicing pregnant/parenting youth. This role requires a deep understanding of trauma-informed practices and positive youth development principles. Key...

  • Clinical Case Manager

    4 weeks ago


    Chicago, Illinois, United States NAMI Chicago Full time

    Job Summary NAMI Chicago is seeking a highly skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will provide intensive case management services for individuals participating in adult mental health treatment court. You will act as a liaison between treatment providers and the criminal justice system, balancing the integrated...

  • Nurse Case Manager

    4 weeks ago


    Chicago, Illinois, United States CINQCARE Full time

    About CINQCARECINQCARE is a leading healthcare provider that focuses on delivering high-quality medical care in a cost-effective manner. We prioritize personalized care that caters to individual needs, ensuring the comfort and well-being of our patients. Our team employs cutting-edge technology and methodologies in our approach to medical care.The...


  • Chicago, Illinois, United States Spectrum Healthcare Resources Full time

    Job Title: Nurse Case Manager PositionWe are seeking a skilled Registered Nurse to fill a Nurse Case Manager Position in our team.**Job Summary:**As a Nurse Case Manager, you will be responsible for providing nursing services to injured Federal workers. Your primary goal will be to ensure the well-being and recovery of these workers, facilitating their...

  • Nurse Case Manager

    4 weeks ago


    Chicago, Illinois, United States CINQCARE Full time

    About CINQCARE:CINQCARE is a leading healthcare provider dedicated to delivering high-quality medical care in a cost-effective manner. Our team believes in the importance of personalized care that caters to individual needs.We're currently seeking a Registered Nurse with Case Manager Experience to join our team. The ideal candidate will be responsible for...

  • Case Manager

    4 weeks ago


    Chicago, Illinois, United States Metropolitan Family Services Full time

    Metropolitan Family Services is seeking a skilled Case Manager to join our team. As a Case Manager, you will be responsible for conducting thorough assessments of clients, evaluating their problem and service needs, and developing written client service plans. You will also provide supportive help, advocacy, and case management to individuals and families in...

  • Nurse Case Manager

    1 month ago


    Chicago, Illinois, United States CINQCARE Full time

    About CINQCARECINQCARE is a leading healthcare provider dedicated to delivering high-quality medical care in a cost-effective manner. Our team is committed to providing personalized care that caters to individual needs, ensuring the comfort and well-being of our patients while employing cutting-edge technology and methodologies in our approach to medical...

  • Nurse Case Manager

    1 month ago


    Chicago, Illinois, United States CINQCARE Full time

    About CINQCARECINQCARE is a leading healthcare provider dedicated to delivering high-quality medical care in a cost-effective manner. We prioritize personalized care that caters to individual needs, ensuring the comfort and well-being of our patients. Our team employs cutting-edge technology and methodologies in our approach to medical care.The OpportunityWe...

  • HRDI Case Manager

    1 month ago


    Chicago, Illinois, United States Friend Health Full time

    Job Title: HRDI Case ManagerFriend Health is seeking a highly skilled and compassionate HRDI Case Manager to join our team. As a key member of our mental health services team, you will play a vital role in assessing and coordinating care for individuals with complex needs.Key Responsibilities:Conduct comprehensive assessments to identify individualized care...

  • Case Manager

    1 month ago


    Chicago, Illinois, United States Lawrence Hall Full time

    Job SummaryWe are seeking a skilled Case Manager to join our team at Lawrence Hall. The successful candidate will provide case management services to young people and their families, utilizing a trauma-informed approach to support healing and recovery.Key ResponsibilitiesDocument all case management activity and maintain accurate recordsDevelop and implement...

  • Case Manager

    1 month ago


    Chicago, Illinois, United States US Tech Solutions Full time

    Job Title: Case Management ConsultantJob Description:We are seeking a highly skilled Case Management Consultant to join our team at US Tech Solutions. As a Case Management Consultant, you will be responsible for facilitating appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support, and education through the use of care...


  • Chicago, Illinois, United States MADO Healthcare Old Town Full time

    About the RoleMADO Healthcare Old Town seeks a highly skilled and compassionate Clinical Services Manager to join our team. As a key member of our interdisciplinary team, you will work closely with clients and mental health professionals to provide clinical assessments, certifications, and treatment recommendations for individuals with mental illness.Key...


  • Chicago, Illinois, United States Chicago House Full time

    Chicago House is a leading organization in providing support services to individuals living with or vulnerable to HIV/AIDS. We are seeking a highly skilled Ryan White Medical Case Manager to join our team.Job Summary:The Ryan White Medical Case Manager will provide case management services to a caseload of 25 to 45 individuals with HIV/AIDS. This includes...


  • Chicago, Illinois, United States Loretto Hospital Full time

    Job SummaryThe Case Manager assumes responsibility for assessing and directing the clinical management of patients in specific case groups for an episode of care. The Case Manager is responsible for developing and meeting desired patient care outcomes for his/her caseload based on assessment of patient care needs and on established clinical care patterns,...

  • HRDI Case Manager

    1 month ago


    Chicago, Illinois, United States Friend Health Full time

    Job Title: HRDI Case ManagerAt Friend Health, we are seeking a highly skilled and compassionate HRDI Case Manager to join our team. The successful candidate will be responsible for assessing the needs of individuals and families, identifying appropriate services, and developing comprehensive treatment plans.Key Responsibilities:Conduct comprehensive...