RN Care Manager

Endeavor Health - Evanston, IL

Job Title: RN Care Manager

Position: Registered Nurse Care Manager

Job Type: Full Time

Pay:

Shift: Monday-Friday, 8:30 AM-5:00 PM

Work Type:

Location

Address:

City: Evanston

State: IL

ZIP Code:

Job 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.

Required Skills

Core Skills

Current professional nursing licensure in the state of IL
Minimum of 2 years clinical nursing experience
Experience in Utilization Management, Managed Care, or chronic disease management

Preferred Skills

Clinical certification, such as case management certification
Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross)
Experience with Electronic Medical Record (EMR) platform
Knowledge of InterQual or MCG criteria

Requirements

Experience: Minimum of 2 years clinical nursing experience required; Previous experience in Utilization Management, Managed Care or chronic disease management highly preferred.

Education: Bachelor's degree required; Bachelor's degree in Nursing from a NLN accredited school of nursing is preferred.

License & Certification:

Current professional Nursing Licensure in the state of IL
Clinical certification, such as case management certification
Basic Life Support for Healthcare providers (AHA)
CPR/AED for the Professional Rescuer (American Red Cross)

Schedule:

Full Time, 40 hours per week, day shift
1 major winter and summer holiday requirement

COVID-19 Requirements: Not Specified

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

Supplemental Pay

Not specified

Special Notes

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy.
We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.