RN Case Manager
1 month ago
We are seeking a skilled RN Case Manager to join our team at Vista Health System. As a key member of our healthcare team, you will play a vital role in ensuring the seamless transition of patients through the care continuum.
Key Responsibilities- Collaborate with the healthcare team to assess, plan, implement, monitor, and evaluate options and services to enable patient progression through the care continuum.
- Develop and implement timely case management plans in collaboration with the multidisciplinary team to ensure efficient and effective care.
- Conduct admission reviews and continued stay reviews to ensure the appropriateness of the setting and communicate with physicians as necessary.
- Coordinate discharge planning, including referrals for home health, hospice, DME, and community services, to facilitate patient movement to the appropriate level of care.
- Provide education to patients, physicians, and the community on discharge level of care, referrals, and transition to the continuum.
- Perform utilization review duties, including conducting admission reviews and continued stay reviews, and coordinating with third-party payers to ensure precertification and recertification as required.
- Support the Patient Health Information Project (PHIP) by communicating with assigned coders and prompting physicians as necessary to provide requested documentation.
- Maintain accurate and timely documentation of all review data, including utilization information and contacts with payers.
- Provide information regarding denials and approvals to the appropriate liaison and work with third-party payers to develop a case for overturning denials for reimbursement.
- Current RN licensure and a minimum of 2 years of experience in case management or a related field.
- Strong communication and interpersonal skills, with the ability to work effectively with patients, families, physicians, and the multidisciplinary team.
- Ability to analyze complex patient data and develop effective case management plans.
- Knowledge of healthcare regulations, including CMS guidelines, and ability to apply this knowledge in a practical setting.
- Strong organizational and time management skills, with the ability to prioritize multiple tasks and meet deadlines.
- Ability to maintain confidentiality and handle sensitive patient information with discretion.
Vista Health System offers a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and compassionate RN Case Manager looking for a challenging and rewarding role, we encourage you to apply.
-
RN Case Manager
4 weeks ago
Waukegan, Illinois, United States Vista Health System Full timeCare Coordination and Patient AdvocacyVista Health System is seeking a skilled RN Case Manager to join our team. As a key member of our care coordination team, you will work closely with patients, families, and healthcare providers to ensure seamless transitions of care and optimal patient outcomes.Key Responsibilities:Collaborate with healthcare teams to...
-
Senior Case Management Director
4 weeks ago
Waukegan, Illinois, United States Vista Health System Full timeJob SummaryVista Health System is seeking a highly skilled and experienced Senior Case Management Director to lead our Case Management operations and staff. The ideal candidate will have a strong background in nursing, case management, and leadership, with a proven track record of producing successful outcomes and results.Key ResponsibilitiesDirect and...
-
Mental Health Case Manager
4 weeks ago
Waukegan, Illinois, United States Independence Center Full timeJob Opportunity: Mental Health Case ManagerAbout the Role:The Independence Center is seeking a highly skilled Mental Health Case Manager to join our team. As a key member of our staff, you will be responsible for providing initial and ongoing assessment, clinical diagnosis, and development of individualized treatment plans for our members.Key...
-
ED Case Manager
4 weeks ago
Waukegan, Illinois, United States AHS Vista LLC Full timeJob DescriptionAs a critical care specialist at AHS Vista LLC, you will collaborate with the healthcare team to assess, plan, implement, monitor, and evaluate options and services to enable the progression of patients across the care continuum.Responsibilities:Comply with organization, department, and regulatory standards.Coordinate the case management...
-
Mental Health Case Manager
1 month ago
Waukegan, Illinois, United States The Independence Center Full timeJob SummaryThe Independence Center is seeking a skilled Mental Health Case Manager to join our team. As a key member of our staff, you will provide critical support to individuals with chronic mental health needs, helping them achieve and maintain healthier lifestyles.Responsibilities include conducting mental health assessments, developing individualized...
-
Medical Management Professional
4 weeks ago
Waukegan, Illinois, United States PSG Global Solutions Careers Full timeApply now and our proprietary system will quickly have you in front of a live recruiter.Conduct medical management and health education programs for customers on government health care programs.Gather, analyze and provide data for regulatory reports.Represent the company to members.Our ClientOur client is a fast-growing industry-recognized staffing firm....
-
Care Coordinator
4 weeks ago
Waukegan, Illinois, United States AHS Vista LLC Full timeJob SummaryAHS Vista LLC is seeking a skilled Care Coordinator to join our team. As a Care Coordinator, you will play a vital role in assessing, planning, implementing, monitoring, and evaluating options and services to enable the progression of patients across the care continuum.Key ResponsibilitiesCoordinate the case management process to ensure seamless...
-
Nurse Care Coordinator
4 weeks ago
Waukegan, Illinois, United States AccentCare Full timeOverviewAccentCare is committed to providing world-class patient care, and we're seeking a skilled Registered Nurse Case Manager to join our team. As a medical professional, you know that what you do impacts not only your patients but also their families. At AccentCare, we're united in our drive to reimagine care and provide the service we'd seek for our own...
-
School Nurse Position
4 weeks ago
Waukegan, Illinois, United States Waukegan Community Unit District 60 Full timeJob Summary:The School Nurse is a vital member of the Waukegan Community Unit School District 60 team, responsible for providing healthcare services to students. This role requires a strong understanding of health education, disease prevention, and patient care. The ideal candidate will have a valid Illinois Professional Educators License or RN + BSN with a...
-
Clinical Therapist
1 month ago
Waukegan, Illinois, United States Kids Above All Full timeJob Title: Clinical TherapistKids Above All is seeking a full-time Clinical Therapist for our Clinical Program located in our Waukegan office.This position provides direct clinical diagnosis, treatment planning, and therapy to assigned clients and families. The Clinical Therapist will also provide clinical consultation to other programs and staff as...
-
Waukegan, Illinois, United States Transitional Care Management Full timeAt Transitional Care Management, we are seeking a dedicated and compassionate Registered Nurse (RN) to join our team in a Part-Time Weekend Day Home Health/Hospice RN position. As a member of our close-knit team, you will provide exceptional clinical care to our residents, working collaboratively with a highly skilled multidisciplinary team to help patients...
-
EMS Continuing Education Program Manager
1 month ago
Waukegan, Illinois, United States AHS Vista LLC Full timeJob SummaryVista Medical Center, a leading healthcare provider, is seeking a highly skilled EMS Continuing Education Coordinator to develop and implement comprehensive continuing education programs for EMS personnel. The ideal candidate will possess a strong background in emergency medical services, education, and training, with excellent communication and...
-
Spiritual Guidance Specialist
4 weeks ago
Waukegan, Illinois, United States The Salvation Army USA Central Territory Full timeThe Salvation Army Mission: The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.Job Summary:The Spiritual Counselor...
-
School Nurse Position
1 month ago
Waukegan, Illinois, United States Waukegan Community Unit District 60 Full timeJob Summary:The School Nurse is a vital member of the Waukegan Community Unit School District 60 team, responsible for promoting the health and well-being of students. As a consultant to school personnel, the School Nurse will provide guidance on matters involving student health, promote awareness of health needs, and provide direct services to children who...
-
Clinical Services Director
4 weeks ago
Waukegan, Illinois, United States Josselyn Full timeJob SummaryThe Director of Clinical Services is responsible for overseeing the management, organization, and operation of clinical staff at Josselyn's Waukegan location. This role requires strong leadership and administrative skills to ensure the effective delivery of services.Key ResponsibilitiesSupervise and evaluate the performance of clinical...
-
Surgical Services Director
1 month ago
Waukegan, Illinois, United States AHS Vista LLC Full timeJob SummaryWe are seeking a visionary leader to serve as the Director of Surgical Services at AHS Vista LLC. The ideal candidate will possess a strong background in clinical practice, quality improvement, and financial management, with a proven track record of driving superior clinical outcomes and delivering exceptional patient care.Key...
-
Surgical Services Director
4 weeks ago
Waukegan, Illinois, United States AHS Vista LLC Full timeWe are seeking a visionary leader to oversee our Surgical Services team, which includes the Operating Room, PACU, Anesthesia, GI, Same Day Surgery, and Cath Lab.Key Responsibilities:Monitor and analyze clinical performance, report trends, and use clinical research to enhance care quality.Lead initiatives to elevate quality, minimize risks, and enhance...
-
Clinical Services Leadership Position
4 weeks ago
Waukegan, Illinois, United States Josselyn Full timeThe Director of Clinical Services is a key leadership position at Josselyn, responsible for overseeing the management and organization of administrative, clinical, and service functions for our clinical staff at our Waukegan location.Key Responsibilities:Staff Supervision: Supervise and evaluate the performance of clinical supervisors, ensuring compliance...
-
Waukegan, Illinois, United States BlueSky Telepsych Full timeAbout BlueSky TelepsychWe are a clinician-led, patient-centered behavioral health company committed to improving access to high-quality mental health care. Our objective is to make our services available to those in need of mental health care in rural and urban regions.Job DetailsEnjoy the autonomy of practicing in the patient's best interest without...
-
Healing Arts Professional
1 month ago
Waukegan, Illinois, United States BRIA Full timeAbout the Role:We are seeking a highly skilled Licensed Practitioner of the Healing Arts to join our team at BRIA. As a key member of our rehabilitation center, you will oversee the planning and implementation of social services programs, ensuring a compassionate and empowering care environment for our residents.Key Responsibilities:Recruit, hire, train, and...