RN Case Manager: Discharge Planning & Care Coordination

Prime Healthcare; Olympia Fields (IL); On-site; USD 74,000 - 111,000; Full time

Job summary

Prime Healthcare's Olympia Fields Hospital in Olympia Fields, IL is seeking a qualified nurse/case management professional for full-time day shifts. The role focuses on admission and concurrent reviews to ensure medical necessity and efficient care across the continuum.

Qualified candidates will hold an active RN license, and an LCSW is preferred; familiarity with Milliman/InterQual criteria a plus; strong computer skills and experience in acute care and discharge planning are desirable.

Qualifications

• Must hold an active Registered Nurse license in good standing.
• Licensed Clinical Social Worker (LCSW) with at least 5 years post-graduate experience strongly preferred; RN Case Manager preferred.
• Experience in acute care, case management, discharge planning or nursing management is preferred.

Responsibilities

• Oversight of admission quality and resource management across the care continuum.
• Collaborate with health care providers to promote cost containment and seamless care delivery.
• Review medical records for medical necessity, service intensity, and illness severity.

Skills

RN license

LCSW credential

Computer skills

Education

Registered Nurse degree

Licensed Clinical Social Worker (LCSW)

BCLS certification

Tools

Milliman Criteria knowledge

InterQual Criteria knowledge

Job description

Prime Healthcare's Olympia Fields Hospital in Olympia Fields, IL is seeking a qualified nurse/case management professional for full-time day shifts. The role focuses on admission and concurrent reviews to ensure medical necessity and efficient care across the continuum.

Qualified candidates will hold an active RN license, and an LCSW is preferred; familiarity with Milliman/InterQual criteria a plus; strong computer skills and experience in acute care and discharge planning are desirable.