Continuum Care Manager

Endeavor Health•Glenview, IL

2d•$42 - $65•Onsite

About The Position

Continuum Care Manager is responsible for facilitating the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement. This role works with the CDI team to ensure that documentation accurately reflects severity of illness and intensity of service. The RN Care Manager works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient progression. This role addresses/resolves system problems impeding diagnostic or treatment progress and proactively identifies and resolves delays and obstacles to discharge so that length of stay is optimized. The RN Care Manager seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge. This role monitors 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
Minimum of 2 years clinical nursing experience required

Nice To Haves

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).
Previous experience in Utilization Management, Managed Care or chronic disease management highly preferred.
Experience with Electronic Medical Record (EMR) platform preferred.
Knowledge of InterQual or MCG criteria is preferred.

Responsibilities

Facilitates payor authorization processes and ensures that the patient type assigned is accurate.
Facilitates the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.
Works with the CDI team to ensure that documentation accurately reflects severity of illness and intensity of service.
Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient progression.
Addresses/resolves system problems impeding diagnostic or treatment progress.
Proactively identifies and resolves delays and obstacles to discharge so that length of stay is optimized.
Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
Monitors 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.