RN Care Manager: Discharge & Utilization Review

Memorial Health; Taylorville (IL); On-site; USD 45,000 - 73,000; Full time

Job summary

Memorial Health is seeking a Care Manager to perform Utilization Review, Discharge Planning and Case Coordination onsite in Illinois. The role involves mobilizing internal and external resources to maximize patient value and reimbursement, and to support quality outcomes.

The Care Manager provides clinical expertise, identifies problems, and collects data for quality improvement initiatives, ensuring effective patient care and collaboration across the care team.

Qualifications

• Registered nurse currently licensed in Illinois (BSN preferred).
• Minimum of 2 years clinical acute care nursing experience (long-term care experience preferred).
• Demonstrates ability to communicate complex ideas/data with all levels of professions.
• Adaptability to changes in healthcare with proactive problem solving.

Responsibilities

• Performs Utilization Review, Discharge Planning and Case Coordination to optimize patient value and reimbursement.
• Evaluates patient utilization to determine appropriateness of stays and assesses care quality.
• Acts as a clinical resource within the patient care team for quality improvement data collection.
• Collaborates across departments to ensure efficient care transitions.

Skills

Communication

Adaptability

Critical thinking

Collaboration

Organizational skills

Education

RN license Illinois

BSN preferred

Job description

Memorial Health is seeking a Care Manager to perform Utilization Review, Discharge Planning and Case Coordination onsite in Illinois. The role involves mobilizing internal and external resources to maximize patient value and reimbursement, and to support quality outcomes.

The Care Manager provides clinical expertise, identifies problems, and collects data for quality improvement initiatives, ensuring effective patient care and collaboration across the care team.