RN Case Manager - Alton Memorial Hospital

Alton Memorial Hospital; Alton (IL); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Retirement Plan

Tuition Assistance

Paid Time Off

Job summary

Alton Memorial Hospital is seeking a Registered Nurse in Case Management to coordinate patient care and optimize resource use. You will work with physicians and a multidisciplinary team to ensure effective discharge planning and cost-efficient care across the hospital setting.

The role emphasizes utilization management and performance improvement activities, requiring nursing licensure and a Bachelor’s or higher in nursing as preferred qualifications.

Qualifications

• Coordinate, negotiate, procures and manage patient care to achieve quality, cost-effective outcomes.
• Collaborate with physicians and interdisciplinary staff to resolve issues.
• Provide consultation on Utilization Management and Performance Improvement programs.

Responsibilities

• Assesses, coordinates, and evaluates each patient's plan of care.
• Establishes, continuously evaluates, and documents an individualized discharge plan.
• Ensures clinical documentation and cost-effective use of hospital resources.

Skills

Case Management

Utilization Review

Social Services

Discharge Planning

Education

Nursing Diploma/Associate's

Bachelor's Degree

Job description

Overview

Additional Information About The Role

Additional Preferred Requirements

Overview

Since 1937, Alton Memorial Hospital has cared for residents in Alton, Illinois, and the surrounding communities in a five-county area. Starting as a land gift to the community from the Smith family, Alton Memorial today is a full-service acute care hospital. Alton Memorial offers patients a variety of inpatient and outpatient services, including surgery services, medical imaging, interventional and diagnostic heart services, cancer care, rehabilitation, 24-hour emergency care, ambulance services and more.

Case Management, Utilization Review, Social Services: Provides admission and continued stay reviews on all patients for the purpose of compliance and the proper utilization of resources. Provides social service resources to patient's and their families.

Preferred Qualifications

Role Purpose

Coordinates, negotiates, procures and manages the care of patients to facilitate achievement of quality cost-effective outcomes. Works collaboratively with physicians and interdisciplinary staff, internal and external to the organization, to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to obtain optimum value for the patient and the reimbursement source.

Responsibilities

• Assesses, coordinates, and evaluates each patient's plan of care.
• Establishes, continuously evaluates, and documents an individualized discharge plan.
• Ensures clinical documentation and cost-effective use of hospital resources.

Minimum Requirements

Education

• Nursing Diploma/Associate's
• Nursing

Experience

Supervisor Experience

• No Experience

Licenses & Certifications

• RN

Preferred Requirements

Education

• Bachelor's Degree
• Nursing

Experience

• 2-5 years

Benefits And Legal Statement

BJC Total Rewards

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

To Learn More, Go To Our Benefits Summary.

• Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer