Care Manager RN- Admin RN

Taylorville Memorial Hospital; United States; On-site; USD 45,000 - 73,000; Full time

Job summary

Memorial Health seeks a Care Manager to perform Utilization Review, Discharge Planning and Case Coordination, coordinating internal and external resources to maximize patient value and reimbursement.

The role evaluates patient utilization, participates in quality improvement, and contributes clinical expertise as part of the patient care team in an onsite position. Requires RN licensure in Illinois; BSN preferred and minimum 2 years acute care experience.

Qualifications

• Registered nurse licensed in Illinois (BSN preferred).
• Minimum of 2 years clinical acute care nursing experience.
• Ability to communicate complex ideas and data effectively.
• Adaptability to changes in healthcare with proactive problem solving.
• Understanding of healthcare reimbursement mechanisms preferred.

Responsibilities

• Perform utilization review, discharge planning and case coordination.
• Evaluate patient utilization to determine appropriateness of stays.
• Act as an active member of the patient care team, contributing clinical expertise for quality improvement.
• Communicate effectively with all levels of staff.

Skills

Communication skills

Critical thinking

Collaboration

Organizational skills

Education

RN license in IL

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.