Care Manager RN: Care Coordination & Utilization Review

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

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.