Continuum Care Manager

Endeavor Health; Glenview (IL); On-site; USD 60,000 - 80,000; Part time

Job summary

A leading health care provider is seeking a Continuum Care Manager in Glenview, IL. This part-time role involves comprehensive case management and coordination across various clinical areas. Successful candidates will have a Bachelor's degree in Nursing or a related field, strong communication skills, and experience in clinical settings. The position requires working nights on weekends, focusing on managing patient care transitions and ensuring efficient resource utilization.

Qualifications

• Minimum 2 years clinical nursing experience preferred.
• Knowledge of InterQual or MCG criteria preferred.
• Clinical certification beneficial, BLS or CPR/AED certification.

Responsibilities

• Responsible for comprehensive case management and utilization management.
• Daily functions include admission reviews and calling insurance companies.
• Accountable for managing patient needs and resource utilization.

Skills

Strong communication

Leadership

Computer skills

Education

Bachelor's degree (Nursing preferred)

Job description

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The Continuum Case Manager RN is responsible for providing comprehensive case management and utilization management services, including discharge planning, to patients across a range of clinical areas. This role will work with the social work role as needed to ensure that any care transition gaps are identified and mitigated. Daily functions may include admission review and continued stay reviews, contacting insurance companies to provide clinical information to support admissions/continued hospital stays, referring cases to the Physician Advisor for further review, collecting QA and Avoidable Days data as directed. The Continuum Case Manager-RN will function as an integral member of a collaborative and interdisciplinary team, using assessment, implementation, coordination, monitoring, and evaluation skills. The Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Position Highlights: Part Time: 24 hours per week, night shift. Hours: Saturday and Sunday, 7:00p-7:30a. Required Travel: as needed. Requirements include a Bachelor's degree (Nursing preferred), minimum 2 years clinical nursing experience preferred, minimum 2 years utilization review, discharge planning, case management or disease management preferred, knowledge of InterQual or MCG criteria preferred, clinical certification beneficial, BLS or CPR/AED certification, strong communication and computer skills, experience with EMR preferred, and proven leadership skills.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Part-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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