RN Care Manager: Optimize Care, Authorization & Discharge

Endeavor Health; Evanston (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 in Evanston, IL is seeking an RN Care Manager to join our full-time care team. The role focuses on coordinating care, ensuring timely authorization, and improving patient outcomes across the continuum.

The ideal candidate has IL nursing licensure, a BSN, and at least 2 years of clinical experience; EMR familiarity and knowledge of utilization management are highly valued.

We offer competitive pay, benefits, and growth pathways within a dedicated, community-focused health system.

Qualifications

• Current IL nursing licensure is required.
• Bachelor's degree in Nursing; NLN-accredited preferred.
• Clinical certification (case management) is beneficial; BLS/CPR certifications.
• Minimum 2 years clinical nursing experience; familiarity with Utilization Management or chronic disease management preferred; EMR experience; knowledge of InterQual/MCG criteria preferred.

Responsibilities

• Facilitate payor authorization and ensure accurate patient type.
• Collaborate across care continuum to remove barriers to care and reimbursement.
• Coordinate with CDI team to reflect severity of illness and service intensity.
• Maintain communication with physicians and care team to support timely progression of care.
• Resolve system problems delaying discharge and optimize length of stay.
• Seek consultations to expedite care and facilitate discharge.
• Monitor progress and ensure care plans are patient-focused, high quality, and cost-effective.

Skills

Clinical nursing experience

Care coordination

Team collaboration

Documentation accuracy

Education

Bachelor's degree in Nursing

Tools

EMR platform experience

InterQual/MCG criteria

Job description

Endeavor Health in Evanston, IL is seeking an RN Care Manager to join our full-time care team. The role focuses on coordinating care, ensuring timely authorization, and improving patient outcomes across the continuum.

The ideal candidate has IL nursing licensure, a BSN, and at least 2 years of clinical experience; EMR familiarity and knowledge of utilization management are highly valued.

We offer competitive pay, benefits, and growth pathways within a dedicated, community-focused health system.