RN Care Manager

4 weeks ago


Highland Park, Illinois, United States NorthShore University HealthSystem Full time
Job Summary:

As a RN Care Manager at NorthShore University HealthSystem, you will play a vital role in facilitating payor authorization processes and ensuring that patient types assigned are accurate. You will work collaboratively with the CDI team to ensure that documentation accurately reflects severity of illness and intensity of service. Your expertise will be utilized to effect timely, appropriate patient progression, and you will work proactively to identify and resolve delays and obstacles to discharge.

Responsibilities:

* Facilitate payor authorization processes and ensure that patient types assigned are accurate

* Collaborate with the CDI team to ensure that documentation accurately reflects severity of illness and intensity of service

* Work collaboratively and maintain active communication with physicians, nursing, and other members of the multi-disciplinary care team to effect timely, appropriate patient progression

* Proactively identify and resolve delays and obstacles to discharge

* Monitor the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient-focused, high-quality, efficient, and cost-effective

Requirements:

* Current professional Nursing Licensure in the state of IL required

* Bachelor's degree required. Bachelor's degree in Nursing from a NLN accredited school of nursing is preferred

* Clinical certification, such as case management certification, is beneficial. Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross)

* Minimum of 2 years clinical nursing experience required; Previous experience in Utilization Management, Managed Care or chronic disease management highly preferred

What We Offer:

* Career Pathways to Promote Professional Growth and Development

* Various Medical, Dental, and Vision options

* Tuition Reimbursement

* Free Parking at designated locations

* Wellness Program Savings Plan

* Health Savings Account Options

* Retirement Options with Company Match

* Paid Time Off

* Community Involvement Opportunities

At NorthShore University HealthSystem, we are committed to delivering transformative patient experiences and expert care close to home. Our team of over 25,000 members and more than 6,000 physicians strive to provide vibrant, community-connected care to our patients.

We are an equal opportunity employer and are committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity, and inclusion are at the core of who we are; being there for our patients and each other with compassion, respect, and empathy.

We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor
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