RN Case Manager — Care Coordination & Outcomes (Day Shift)

Prime Healthcare Services; Illinois; Presencial; USD 74.000 - 111.000; Tempo integral

Benefícios oferecidos por esta vaga

401K retirement plan

Medical

Dental

Vision coverage

Tuition reimbursement

Resumo da vaga

Prime Healthcare Services is seeking an experienced RN Case Manager / Social Work professional for Olympia Fields Hospital. This role focuses on admission to discharge planning, ensuring quality, cost-effective outcomes, and comprehensive care management across the patient continuum.

You will collaborate with health care providers, apply Milliman and InterQual criteria, and contribute to a robust Total Rewards package. Prior experience in acute care and social work is preferred.

Qualificações

• 5+ years post-graduation nursing experience and current RN license.
• 5 years post-graduate experience for LCSW; RN Case Manager preferred.
• 5 years acute care nursing experience preferred; case management experience desired.
• Current BCLS certificate preferred.
• Knowledge of Milliman and InterQual Criteria preferred.
• Basic to intermediate computer skills.

Responsabilidades

• Oversee quality and resource management for all admitted patients.
• Advocate for cost containment and coordinate care integration.
• Lead cross-disciplinary teams to ensure seamless delivery of care.
• Review medical records for necessity, intensity of service, and severity of illness.

Conhecimentos

Discharge planning

Case management

Nursing management

Computer skills

Formação

Registered Nurse license

Licensed Clinical Social Worker (LCSW)

Ferramentas

Milliman Criteria

InterQual Criteria

Descrição da vaga

Prime Healthcare Services is seeking an experienced RN Case Manager / Social Work professional for Olympia Fields Hospital. This role focuses on admission to discharge planning, ensuring quality, cost-effective outcomes, and comprehensive care management across the patient continuum.

You will collaborate with health care providers, apply Milliman and InterQual criteria, and contribute to a robust Total Rewards package. Prior experience in acute care and social work is preferred.