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Case Manager II

Kindred Healthcare

Chicago (IL)

On-site

Full time

2 days ago
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Job summary

A leading healthcare provider seeks a Case Manager in Chicago to coordinate patient care and enhance management and satisfaction. The ideal candidate is a licensed RN or social worker with experience in healthcare settings. Key responsibilities include care coordination, advocating for patients, and working collaboratively with teams to ensure optimal patient outcomes. Comprehensive benefits are available for eligible employees.

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
401(k)
Paid Time Off
Wellness Programs

Qualifications

  • Registered Nurse or LCSW licensure required.
  • Two years of experience in healthcare preferred.
  • Experience in case management or discharge planning preferred.

Responsibilities

  • Coordinates patient care through collaboration with the interdisciplinary team.
  • Provides ongoing support through assessment and care planning.
  • Advocates for patients and enhances their ability to make informed decisions.

Skills

Critical Thinking
Communication
Interpersonal Skills
Time Management

Education

Graduate of an accredited program for RN
BSN preferred
MSW/BSW with required licensure

Tools

Microsoft Office

Job description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

  • Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members
  • Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies
  • Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs
  • Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning

Essential Functions
Care Coordination

  • Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
  • Monitors all areas of patients’ stay for effective care coordination and efficient care facilitation.
  • Remains current from a knowledge base perspective regarding reimbursement modalities, communityresources, case management, psychosocial and legal issues that affect patients and providers of care.
  • Appropriately refers high risk patients who would benefit from additional support.
  • Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient’s andfamily’s ability to make informed decisions.
  • Demonstrates knowledge of the principles of growth and development over the life span and the skillsnecessary to provide age appropriate care to the patient population served.
  • Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimizeresource utilization, provide family education and identified post hospital needs. Collaborates with clinicalstaff in the development and execution of the plan of care, and achievement of goals.
  • Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors,and others in the planning of the patients’ care throughout the care continuum.

Knowledge/Skills/Abilities/Expectations

  • Knowledge of government and non-government payor practices, regulations, standards andreimbursement.
  • Knowledge of Medicare benefits and insurance processes and contracts.
  • Knowledge of accreditation standards and compliance requirements.
  • Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
  • Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheetsoftware.
  • Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtaincooperation/collaboration from hospital leadership, as well as physicians, payors and other externalcustomers
  • Demonstrates good interpersonal skills when working or interacting with patients, their families and otherstaff members.
  • Approximate percent of time required to travel, 0%
  • Must read, write and speak fluent English.
  • Must have good and regular attendance.
  • Performs other related duties as assigned

Salary Range: $33.00 - $49.50/Hour

ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.

Education

  • Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as required by state regulations

Licenses/Certification

  • Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations
  • Certification in Case Management a plus

Experience

  • Two years of experience in a healthcare setting preferred
  • Prefer prior experience in case management, utilization review, or discharge planning
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