RN Case Manager, Inpatient-Cross Care Continuum

Nevada System of Higher Education

109d • $40 - $62

About The Position

The RN Case Manager position is located in Glenview, IL, and is offered on a Per Diem basis with rotating shifts from Monday to Friday, 11:00 AM to 11:30 PM. The hourly pay range is $40.45 to $62.70, determined by the candidate's expertise and years of experience, among other factors.

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.
• 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.

Benefits

• Premium pay for eligible employees.
• 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.

What This Job Offers

• Career Level: Entry Level
• Education Level: Bachelor's degree