RN Care Manager: Care Coordination & Reimbursement

Endeavor Health; Glenview (IL); Vor Ort; USD 87.000 - 135.000; Vollzeit

Benefits dieser Stelle

Premium pay for eligible positions

Career Pathways for growth

Medical, Dental, Vision options

Tuition Reimbursement

Free Parking

Wellness Program Savings Plan

Health Savings Account Options

Retirement with Company Match

Paid Time Off

Community Involvement Opportunities

Zusammenfassung

Endeavor Health is hiring an RN Care Manager in Glenview, IL to coordinate care and manage authorization processes. The role requires an IL nursing license, a BSN, and at least 2 years of clinical nursing experience with utilization management or chronic disease management preferred.

EMR experience and knowledge of InterQual/MCG criteria are beneficial. The position is full-time, with daytime hours, on-call responsibilities, and rotating weekend coverage.

Qualifikationen

• LICENSE: Current professional Nursing Licensure in IL required.
• EDUCATION: Bachelor's degree in Nursing; NLN accredited school preferred.
• CERTIFICATION: Case management certification beneficial; BLS/CPR certification.
• EXPERIENCE: Minimum 2 years clinical nursing; Utilization Management or chronic disease mgmt preferred.

Aufgaben

• Facilitates payor authorization processes and ensures accurate patient type.
• Coordinates patient care across the continuum to remove delays in care and reimbursement.
• Collaborates with the CDI team to reflect severity of illness and intensity of service.
• Maintains communication with physicians, nursing and multi-disciplinary team for timely progression.
• Identifies and resolves delays to discharge to optimize length of stay.
• Seeks multidisciplinary consultation to expedite care and discharge as needed.
• Monitors progress and ensures a high-quality, cost-effective plan of care.

Kenntnisse

Utilization Management

Chronic disease management

Care coordination

Communication with care team

Ausbildung

Bachelor's degree in Nursing

NLN accredited school preferred

Tools

EMR platform

InterQual/MCG knowledge

Jobbeschreibung

Endeavor Health is hiring an RN Care Manager in Glenview, IL to coordinate care and manage authorization processes. The role requires an IL nursing license, a BSN, and at least 2 years of clinical nursing experience with utilization management or chronic disease management preferred.

EMR experience and knowledge of InterQual/MCG criteria are beneficial. The position is full-time, with daytime hours, on-call responsibilities, and rotating weekend coverage.