Care Manager RN- Admin RN

Memorial Health; Taylorville (IL); On-site; USD 45,000 - 73,000; Full time

Job summary

Memorial Health is seeking a Care Manager to perform Utilization Review, Discharge Planning and Case Coordination onsite in Illinois. The role involves mobilizing internal and external resources to maximize patient value and reimbursement, and to support quality outcomes.

The Care Manager provides clinical expertise, identifies problems, and collects data for quality improvement initiatives, ensuring effective patient care and collaboration across the care team.

Qualifications

• Registered nurse currently licensed in Illinois (BSN preferred).
• Minimum of 2 years clinical acute care nursing experience (long-term care experience preferred).
• Demonstrates ability to communicate complex ideas/data with all levels of professions.
• Adaptability to changes in healthcare with proactive problem solving.

Responsibilities

• Performs Utilization Review, Discharge Planning and Case Coordination to optimize patient value and reimbursement.
• Evaluates patient utilization to determine appropriateness of stays and assesses care quality.
• Acts as a clinical resource within the patient care team for quality improvement data collection.
• Collaborates across departments to ensure efficient care transitions.

Skills

Communication

Adaptability

Critical thinking

Collaboration

Organizational skills

Education

RN license Illinois

BSN preferred

Job description

Focused on the Future of Care

We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer.

Position Type: On-site

Job Description Summary

The Care Manager performs Utilization Review, Discharge Planning and Case Coordination, mobilizing appropriate internal and external resources in order to achieve optimum value for the patient and reimbursement source. Evaluates patient utilization to determine appropriateness of patient stays and assesses patient care quality. The Case Manager is an active member of the patient care team, providing clinical expertise, problem identification and data collection for quality improvement initiatives. This is an onsite position.

Job Description

Licensure/Certification/Registry

• Registered nurse currently licensed in the state of Illinois. BSN preferred.

Experience

• Minimum of 2 years clinical acute care nursing experience required (additional long-term care experience preferred).

Other Knowledge/Skills/Abilities

• Demonstrates ability to effectively communicate complex ideas and data and interact with all levels of professions.
• Demonstrates adaptability to changes in healthcare environment with proactive problem solving attitudes.
• Strong critical thinking skills and ability to integrate knowledge.
• Excellent communication, collaboration and organizational skills.
• Understanding of healthcare reimbursement mechanisms preferred.

Pay Transparency $32.95 - $52.73 Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role.

Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options. All benefits can be found at https://jobs.memorial.health/about/benefits/

If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact [e-mail]. Requests will be handled confidentially.