Per Diem Case Manager RN - Care Coordination Lead

Prime Healthcare; Chicago (IL); On-site; USD 55,000 - 83,000; Part time

Job summary

Resurrection Medical Center in Chicago, IL seeks an experienced Registered Nurse for per diem case management and discharge planning. You will oversee admission reviews, assess medical necessity, and coordinate care across the continuum to support cost-effective outcomes.

Applicants need at least 5 years of RN experience, CCM or plan to obtain within 1 year, and knowledge of Milliman and InterQual criteria is preferred. BCLS certification is encouraged.

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

Responsibilities

• Oversee quality and resource management of all patients admitted to the facility from entry through the continuum of care.
• Promote cost containment and coordinate with health care providers to achieve seamless delivery of care.
• Ensure quality, clinical and cost-effective outcomes via holistic admission and concurrent review of the medical record for medical necessity, intensity of service and severity of illness.

Skills

Nursing experience

Case management

Discharge planning

Nursing management

Education

RN license

CCM certification

Tools

Milliman Criteria

InterQual Criteria

Job description

Resurrection Medical Center in Chicago, IL seeks an experienced Registered Nurse for per diem case management and discharge planning. You will oversee admission reviews, assess medical necessity, and coordinate care across the continuum to support cost-effective outcomes.

Applicants need at least 5 years of RN experience, CCM or plan to obtain within 1 year, and knowledge of Milliman and InterQual criteria is preferred. BCLS certification is encouraged.