RN Care Manager

Endeavor Health; Niles (IL); On-site; USD 84,000 - 130,000; Full time

Benefits offered by this job

Premium pay for eligible employees

Career pathways to promote growth

Medical, dental, and vision options

Tuition reimbursement

Free parking at designated locations

Wellness program savings plan

Health savings account options

Retirement options with company match

Paid time off

Community involvement opportunities

Job summary

Endeavor Health is seeking an RN Care Manager in Evanston, IL for a full-time, 40-hour week with rotating weekends and holiday coverage. The role includes managing payor authorizations, coordinating across the care continuum, and ensuring documentation reflects severity of illness and service intensity.

Requirements include IL RN licensure, a BSN (NLN-accredited preferred), and 2+ years of clinical nursing experience with case-management skills.

Qualifications

• State nursing licensure in Illinois is required.
• BSN with NLN-accredited nursing school preferred.
• Clinical certification in case management is beneficial.
• BL/CPR certification required or as listed by employer.
• Minimum 2 years of clinical nursing experience required; care management experience preferred.
• EMR experience and knowledge of care-criteria systems preferred.

Responsibilities

• Facilitate payor authorization processes and ensure correct patient type.
• Collaborate on patient care across the continuum to remove barriers to care and reimbursement.
• Coordinate with CDI team to reflect severity of illness and service intensity.
• Maintain communication with physicians, nursing, and care team for timely progression.
• Resolve system problems affecting diagnosis or treatment progress.
• Identify and resolve discharge delays to optimize length of stay.
• Seek consultations to expedite care and discharge when needed.
• Monitor patient progress and ensure high-quality, cost-efficient services.

Skills

Nursing licensure IL

Clinical certification

Basic Life Support/CPR

Utilization/M management or chronic-ds

EMR experience

InterQual/MCG knowledge

Education

Bachelor's degree in Nursing

NLN-accredited nursing program preferred

Job description

Hourly Pay Range:

$40.45 - $62.70 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights:

Sign on bonus:Position: RN Care ManagerLocation: Evanston, ILFull Time: 40 hours/weekHours: Monday-Friday, rotating weekends, 1 winter and 1 summer holiday coverage

What you will need:

• License: Current professional Nursing Licensure in the state of IL required
• Education: Bachelor's degree required. Bachelor's degree in Nursing from a NLN accredited school of nursing is preferred
• Certification: Clinical certification, such as case management certification, is beneficial. Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross)
• Experience: Minimum of 2 years clinical nursing experience required; Previous experience in Utilization Management, Managed Care or chronic disease management highly preferred. Experience with Electronic Medical Record (EMR) platform preferred. Knowledge of InterQual or MCG criteria is preferred

What you will do:

• Facilitates payor authorization processes and ensures that the patient type assigned is accurate
• Facilitates the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement
• Works with the CDI team to ensure that documentation accurately reflects severity of illness and intensity of service
• Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient progression
• Addresses/resolves system problems impeding diagnostic or treatment progress
• Proactively identifies and resolves delays and obstacles to discharge so that length of stay is optimized
• Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge
• Monitors the patient?s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective

Benefits (for full and part-time positions):

• Premium pay for eligible employeesCareer Pathways to Promote Professional Growth and DevelopmentVarious Medical, Dental, and Vision optionsTuition ReimbursementFree Parking at designated locationsWellness Program Savings PlanHealth Savings Account OptionsRetirement Options with Company MatchPaid Time OffCommunity Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to ?help everyone in our communities be their best?.

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor