RN Care Manager - Care Coordination
$84,136–$130,416 year
On-siteWheeling, Illinois, United States
Job Summary
Facilitate payor authorization processes and ensure accurate patient type assignments. Manage patient care across the continuum by collaborating with physicians, nursing, and multi-disciplinary teams to remove barriers to timely discharge and optimize length of stay. Work with the CDI team to verify documentation severity and intensity, addressing system problems that impede diagnostic or treatment progress. Monitor patient progress to ensure plans of care remain patient-focused, high quality, and cost-effective. Requires current Illinois nursing licensure, a Bachelor's degree, and at least two years of clinical nursing experience. Full-time role in Arlington Heights, IL, with rotating weekend coverage and holiday requirements.
Required Qualifications
- Current professional Nursing Licensure in the state of IL
- Bachelor's degree
- Minimum of 2 years clinical nursing experience
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
- Rotating every 3rd weekend
- 1 summer and 1 winter holiday coverage
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