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Centene Corporation
, IL, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME. QUALIFIED APPLICANTS MUST RES
Job Source: Centene CorporationNorth Shore Defunct
Chicago, IL, United States
Position Highlights:Position: RN Care ManagerLocation: Chicago, ILFull TimeHours: Monday-Friday, 8:00 am -4:30pmRequired Travel: NoWhat you will need: EPIC experience preferredFluency in Spanish, Urdu, Hindi, or Arabic a plus.Graduate of an accredited school of nursing, Bachelor Degree in nursingCurrent license as a Registered Nurse in the State o
Job Source: North Shore DefunctEdward Elmhurst Health
, IL, United States
Full Time/Part Time: [Full Time / Part Time] Hours: Monday-Friday, [hours and flexible work schedules] Required Travel: Position Highlights: Sign on bonus: (if applicable) Position: Location: [City, IL] Full Time/Part Time: [Full Time / Part Time] Hours: Monday-Friday, [hours and flexible work schedules] Required Travel: What you will need: Bene
Job Source: Edward Elmhurst HealthCityblock Health
Chicago, IL, United States
Cityblock Health is the first tech-driven provider for communities with complex needs—bringing better care to where it’s needed most, block by block. Founded in 2017 on the premise that “health is local” and based in Brooklyn, we are backed by Alphabet’s Sidewalk Labs along with some of the top healthcare investors in the country. Our mission is to
Job Source: Cityblock HealthTexas Health Huguley FWS
Hinsdale, IL, United States
Job Description - Registered Nurse RN Care Manager (24003264) Job Description Registered Nurse RN Care Manager ( Job Number: 24003264 ) Description All the benefits and perks you need for you and your family: Benefits from Day One Paid Time Off from Day One Student Loan Repayment Program Mental Health Resources and Support Debt-free Education (
Job Source: Texas Health Huguley FWSCityblock
Chicago, IL, United States
#communityhealth #healthcare About Us: Cityblock Health is the first tech-driven provider for communities with complex needs-bringing better care to where it's needed most, block by block. Founded in 2017 on the premise that "health is local" and based in Brooklyn, we are backed by Alphabet's Sidewalk Labs along with some of the top healthcare in
Job Source: CityblockAdventHealth
Hinsdale, IL, United States
Description All the benefits and perks you need for you and your family: Benefits from Day One Paid Time Off from Day One Whole Person Wellbeing Resources Student Loan Repayment Program Career Development Mental Health Resources and Support Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) Our promise t
Job Source: AdventHealthLutheran Social Services of IL
Chicago, IL, United States
Description Lutheran Social Services of Illinois (LSSI), is a leading not-for-profit organization providing healing, justice and wholeness to people and communities. For over 150 years, LSSI has made a difference in the lives of children and families, and we're still a strong, viable presence in the State of Illinois, continuing that commitment to
Job Source: Lutheran Social Services of ILChicago, IL, United States
The RN Case Manager carries out activities related to utilization management, discharge planning, and care coordination. Participates in patient care rounds and promotes interdisciplinary collaboration with all team members. ensure patient needs are met and care delivery is coordinated across the continuum at the appropriate level of care He/she clinically assesses, plans, implements, coordinates, monitors, and evaluates options and services through effective care coordination and utilization of healthcare resources in order to achieve desired clinical and financial goals.
Key responsibilities include determination of medical necessity, ability to partner with the healthcare team to ensure all aspects of the patient’s needs, clinical, psychosocial and financial are adequately addressed in the transition of care plan and to manage the patient’s timely progression of care and safe transition to the next most appropriate level of care.
QUALIFICATIONS –
Current IL RN licensure required
RN Degree (Bachelor’s degree preferred)
Experience and certification in case management preferred; case management certification expected within 2 years of hire
Experience in Utilization Management
5 years minimum in acute nursing experience
BLS Required
Current sound clinical knowledge; knowledge of medical literature, research methodology, financial/ reimbursement issues
Strong collaboration, communication and interpersonal skills
Excellent organizational and time management skills
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems
Desire to work collaboratively and proactively with healthcare teams and other hospital-based interdisciplinary teams
Current knowledge of discharge planning, resource management, utilization review and care coordination in an acute care setting
Knowledge of CMS, commercial payer requirements and hospital financial/reimbursement processes
Excellent written/verbal communication skills, critical thinking skills, creative problem-solving skills, good organizational and planning skills
Must be self-directed, have the ability to tolerate frequent interruption and work in a fast-paced work environment
Knowledge of funding, resources, services, clinical standards, care coordination processes and outcomes are preferred
Weekend rotation will be required. Holiday and on call may be required
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RN Care Manager jobs in Chicago, IL, United States
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