RN Care Manager: Care Coordination & Reimbursement Expert

1100 Endeavor Health Clinical Operations; Glenview (IL); On-site; USD 58,000 - 91,000; Full time

Benefits offered by this job

Premium pay for eligible positions

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 Glenview, IL for a full-time, 40-hour week. Typical hours are Monday–Friday, 8:30 a.m. to 5:00 p.m., with on-call duties and rotating weekends every 3–4 weeks.

Requires IL nurse licensure, a BSN, and at least 2 years of clinical nursing experience. Experience in utilization management or chronic disease care is strongly preferred, along with EMR familiarity and knowledge of accountability criteria such as InterQual/MCG.

Qualifications

• IL nursing licensure required
• Bachelor's degree in Nursing required
• NLN-accredited BSN preferred
• Clinical certification in case management beneficial
• BLS/CPR certification required
• Minimum 2 years clinical nursing experience
• Experience with UM, chronic disease management preferred
• EMR platform experience preferred
• Knowledge of InterQual/MCG criteria preferred

Responsibilities

• Facilitates payor authorization processes and ensures correct patient type
• Manages patient care across continuum to remove barriers to timely care and reimbursement
• Ensures documentation reflects severity of illness and intensity of service
• Maintains communication with physicians, nursing, and care team for patient progression
• Addresses system problems impeding diagnostic or treatment progress
• Identifies and resolves delays to discharge to optimize length of stay
• Seeks consultations to expedite care and discharge
• Monitors progress to ensure high quality, cost-effective care

Skills

Utilization Management

EMR experience

InterQual/MCG knowledge

2 years nursing experience

Education

Bachelor's degree in Nursing

IL nursing licensure

NLN-accredited BSN preferred

Clinical certification (case management)

Job description

Endeavor Health is seeking an RN Care Manager in Glenview, IL for a full-time, 40-hour week. Typical hours are Monday–Friday, 8:30 a.m. to 5:00 p.m., with on-call duties and rotating weekends every 3–4 weeks.

Requires IL nurse licensure, a BSN, and at least 2 years of clinical nursing experience. Experience in utilization management or chronic disease care is strongly preferred, along with EMR familiarity and knowledge of accountability criteria such as InterQual/MCG.