Case Manager RN

Resurrection Medical Center; Chicago (IL); On-site; USD 55,000 - 77,000; Part time

Job summary

Resurrection Medical Center in Chicago, IL is seeking a Per Diem Registered Nurse with case management responsibilities to oversee quality and resource management for admitted patients. You will advocate for cost containment and coordinate care across the health system to ensure seamless delivery.

The candidate should have 5+ years of nursing experience, an active RN license, and at least 1 year in case management or discharge planning, with solid computer skills.

Qualifications

• RN with at least 5 years post-graduation experience and active state license.
• Minimum 1 year in case management or discharge planning.
• Proficient in basic to intermediate computer skills.

Responsibilities

• Oversee quality and resource management for admitted patients.
• Advocate for cost containment and coordinated care.
• Lead teams to integrate providers for seamless care delivery.
• Review medical records for necessity, intensity of service and illness severity.

Skills

Case management

Discharge planning

Nursing documentation

Computer skills

Education

Bachelor of Science in Nursing (BSN)

Registered Nurse license

Tools

Milliman Criteria

InterQual Criteria

Excel

Job description

• Location: 7435 W Talcott Ave, Chicago, IL 60631

Overview

• Department: Social Services
• Schedule: Per Diem (as needed)
• Facility: Resurrection Medical Center
• Location: 7435 W Talcott Ave, Chicago, IL 60631

Responsibilities

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required Qualifications

• Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
• At least one year experience in case management, discharge planning or nursing management
• Experience and knowledge in basic to intermediate computer skills.

Preferred Qualifications

• Five years of acute care nursing experience. preferred
• CCM or obtained within 1year
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Current BCLS certificate, preferred

Pay Transparency

Resurrection Medical Center offers competitive compensation and a reasonable compensation estimate for this role is $XX.XX to $XX.XX. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

Employment Status

Per Diem

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf