Field Nurse Case Manager Hospice

Prime Healthcare Hospice and Palliative Care•Mount Prospect, IL

1d•Onsite

About The Position

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Requirements

Minimum 5 years work experience post-graduation of an accredited school of nursing.
Current state Registered Nurse license.
Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker.
Basic to intermediate computer skills.

Nice To Haves

RN Case Manager preferred.
Five years acute care nursing experience preferred.
At least one year experience in case management, discharge planning or nursing management, preferred.
Current BLS certificate, preferred.
Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

Quality and resource management of all patients admitted to the facility from admission across the continuum of health care management.
Works on behalf of the advocate, promoting cost containment.
Demonstrates leadership to integrate health care providers for seamless delivery of care.
Facilitates and ensures achievement of quality, clinical, and cost-effective outcomes.
Performs holistic and comprehensive admission and concurrent review of the medical record for medical necessity, intensity of service, and severity of illness.