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Memorial Hospital Belleville and Memorial Hospital Shiloh are seeking a Health Care Case Manager to coordinate, negotiate, procure, and manage the care of patients to achieve quality, cost-effective outcomes. You will work with physicians and interdisciplinary staff to resolve issues and optimize utilization management for optimal reimbursement.
Responsibilities include assessing each patient's plan of care, establishing a personalized discharge plan, and ensuring accurate clinical documentation
Additional Information About The Role
Location: This position will work at Memorial Hospital-Belleville and Memorial Hospital-Shiloh
This position is onsite
Memorial Hospital Belleville is an acute care hospital offering medical and surgical services plus critical and emergency care including Children’s at Memorial for pediatric emergency care. It provides patients a full complement of diagnostic and treatment services as well as heart and vascular care. Memorial, offering medical and surgical services plus critical care, is an accredited Chest Pain Center with PCI by the Society of Cardiovascular Patient Care and is designated as an Acute Stroke Ready Hospital by the Illinois Department of Public Health. In addition, Memorial Belleville recently was accredited by the American College of Radiology as a designated Lung Cancer Screening Center. Since 2008, it has been designated as a Magnet- recognized organization for nursing excellence by the American Nurses Credentialing Center.
Memorial Hospital Shiloh, a 94-bed, all-private suite hospital was recognized with Magnet status in 2018 and provides emergency care, labor & delivery, nursery, medical and surgical services plus critical care.
Care Management includes Utilization Management (Utilization Review), Discharge Planning, Social Services, Clinical Outcomes (Care Managers), Discharge Transition Coaches, Nurse Practitioners, and Clinical Documentation Improvement.
Coordinates, negotiates, procures and manages the care of patients to facilitate achievement of quality cost-effective outcomes. Works collaboratively with physicians and interdisciplinary staff, internal and external to the organization, to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to obtain optimum value for the patient and the reimbursement source.
At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer