Case Manager Registered Nurse

Olympia Fields Hospital•Olympia Fields, IL

6d•$73,528 - $111,446•Onsite

About The Position

The Case Manager Registered Nurse is responsible for the quality and resource management of patients admitted to the facility, beginning at admission and continuing across the continuum of health care management. The role advocates on behalf of patients, promotes cost containment, and provides leadership to integrate health care providers and support seamless care delivery. The position uses a holistic, comprehensive admission and concurrent review of medical records to assess medical necessity, intensity of service, and severity of illness, with the goal of achieving quality, clinical, and cost-effective outcomes.

Requirements

For applicants qualifying under the requirements effective April 1, 2015: at least five years of post-graduation work experience and a current state Registered Nurse license, with graduation from an accredited school of nursing.
For applicants grandfathered prior to April 1, 2015: at least five years of postgraduate experience from an accredited school of social work and Licensed Clinical Social Worker status; an RN Case Manager is preferred.
Basic to intermediate computer skills and knowledge.

Nice To Haves

Five years of acute care nursing experience.
At least one year of experience in case management, discharge planning, or nursing management.
Current BCLS certificate.
Knowledge of Milliman Criteria and InterQual Criteria.
RN Case Manager for applicants grandfathered under the pre-April 1, 2015 requirements.

Responsibilities

Manage the quality and resources of patients admitted to the facility from admission throughout the continuum of health care management.
Advocate on behalf of patients and promote cost containment.
Integrate health care providers to support seamless delivery of care.
Conduct holistic, comprehensive admission and concurrent medical-record reviews for medical necessity, intensity of service, and severity of illness.
Facilitate quality, clinical, and cost-effective outcomes.