Case Manager RN - Social Work

Holy Family Medical Center; Des Plaines (IL); On-site; Full time

Job summary

Holy Family Medical Center is seeking a Case Manager RN - Social Work to oversee patient care from admission through management. The role requires significant experience in nursing or social work, ensuring quality and integrated care while managing resources effectively. A competitive compensation package and benefits are offered, tailored to meet individual needs.

Benefits

Paid time off

401K retirement plan

Medical and dental coverage

Tuition reimbursement

Qualifications

• Minimum 5 years nursing experience required.
• Experience in case management or discharge planning preferred.
• Current BCLS certificate preferred.

Responsibilities

• Manage quality and resource of all admitted patients.
• Ensure clinical effectiveness and cost containment.
• Perform comprehensive reviews for medical necessity.

Skills

Leadership

Cost Containment

Clinical Assessment

Holistic Health Care Management

Patient Advocacy

Education

Registered Nurse License

Licensed Clinical Social Worker

Job description

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• Schedule: Days, 8am-4:30pm
• Facility: Prime Holy Family Medical Center
• Location: Des Plaines, 60016
  
  

Overview

• Department: Utilization Management/ Case Management
• Schedule: Days, 8am-4:30pm
• Facility: Prime Holy Family Medical Center
• Location: Des Plaines, 60016
  
  

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

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 insure 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

• Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
• Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
• Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
• Current BCLS certificate, preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Experience and knowledge in basic to intermediate computer skills.
  
  

Holy Family Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $35.35 to $47.58. 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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Wellness and Fitness Services, Medical Practices, and Hospitals and Health Care

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