Case Manager Social Worker

Resurrection Medical Center; Chicago (IL); On-site; USD 44,000 - 47,000; Full time

Job summary

Resurrection Medical Center in Chicago, IL is seeking a Per Diem Social Services professional to manage patient admissions and discharge planning within the Social Services department. You will ensure quality and cost-effective outcomes by reviewing medical records for necessity and service level, while coordinating with care teams to support a seamless patient journey.

The ideal candidate has a BSW or related degree and at least one year in case management or discharge planning, with basic to

Qualifications

• Experience in case management or discharge planning is preferred.
• Proficiency with basic to intermediate computer skills.

Responsibilities

• Oversee quality and resource management for all admitted patients across the care continuum.
• Lead efforts to integrate health care providers to ensure seamless delivery of care.
• Perform admission and concurrent review of medical records for medical necessity, service intensity, and severity of illness.

Skills

Computer skills

Education

BSW or related bachelor's degree

Job description

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

Overview

• Department: Social Services
• Schedule: PRN (As needed) days
• 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 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

Required Qualifications

• BSW or other bachelor's degree in a related field. At least one year experience in case management, discharge planning or nursing management; or
• Experience and knowledge in basic to intermediate computer skills.

Preferred Qualifications

• Minimum 5 years of acute care experience preferred.
• CCM or obtained within 1year
• Current BCLS certificate preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.

Pay Transparency

Resurrection Medical Center offers competitive compensation and a reasonable compensation estimate for this role is a flat rate of $32.50. 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