RN Care Manager - Care Coordination
$84,136–$130,416 year
On-siteArlington Heights, Illinois, United States
Job Summary
Facilitate payor authorization processes and ensure accurate patient type assignments while managing collaborative care across the continuum. Work with the CDI team to verify documentation severity and maintain active communication with physicians and the multi-disciplinary care team to optimize discharge and length of stay. Address system problems impeding treatment progress and seek consultation from appropriate departments to expedite care delivery. Monitor patient progress to ensure plans of care remain patient-focused, high quality, and cost-effective. Requires current IL nursing licensure, a Bachelor's degree, and minimum two years of clinical nursing experience. Full-time role at Endeavor Health 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, with 1 summer and 1 winter holiday coverage
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