RN Care Manager - Care Coordination
$84,136–$130,416 year
On-siteMount Prospect, Illinois, United States
Job Summary
Facilitate payor authorization processes and ensure accurate patient type assignments while managing patient care across the continuum to optimize discharge and length of stay. Collaborate with physicians, nursing, and the CDI team to resolve system barriers, verify documentation severity, and expedite care progression. Monitor patient progress to ensure high-quality, cost-effective plans of care, proactively identifying and resolving obstacles to timely treatment. Requires current Illinois nursing licensure, a Bachelor's degree, and minimum two years of clinical experience, with preference for Utilization Management or chronic disease management backgrounds. Full-time role with rotating weekend coverage and holiday requirements at Endeavor Health's Arlington Heights location.
Required Qualifications
- Current professional Nursing Licensure in the state of IL
- Bachelor's degree
- Minimum of 2 years clinical nursing experience
- Rotating every 3rd weekend
- 1 summer and 1 winter holiday coverage
Desired Qualifications
- Bachelor's degree in Nursing from a NLN accredited school of nursing
- Clinical certification, such as case management certification
- 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
- Experience with Electronic Medical Record (EMR) platform
- Knowledge of InterQual or MCG criteria
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