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Cityblock Health
, 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 HealthCVS Health
Chicago, IL, United States
Job Description This is a full-time telework role open to candidates with an IL RN licensure. Working schedule: Monday-Friday, 9am-5pm CST. Program Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You
Job Source: CVS HealthCentene 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 CorporationAscension Health
niles
RN Manager Long Term Care Details * Sign on bonus: $6,000 for eligible employees * Department: Nursing Administration * Schedule: Full time; Days * Facility: Saint Benedict Village * Location: Niles, IL * Salary Midpoint: $66,164.80 - $109,179.20 per year Actual compensation offered will vary based on factors including applicable licenses, certif
Job Source: Ascension HealthDupage Medical Group
orland park
RN Case Manager - Care Ally Overview * Full-Time, 40 hours per week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed * Location: Orland Park Good enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and
Job Source: Dupage Medical GroupDupage Medical Group
oak lawn
RN Case Manager - Care Ally Overview * Full-Time, 40 hours per week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed * Location: Oak Lawn Good enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and bey
Job Source: Dupage Medical GroupStrive Health, LLC
Chicago, IL, United States
Strive Health is built for purpose — to transform a broken kidney care system. We are fundamentally changing the lives of people with kidney disease through early identification, engagement and comprehensive coordinated care. Strive’s model is driven by a high-touch care team that integrates with local providers and spans the entire care journey fr
Job Source: Strive Health, LLCLa Rabida Children's Hospital
Chicago
Job Description Job Description La Rabida Children’s Hospital Clinical Care Manager (RN) La Rabida Children’s Hospital is hiring for a full-time Clinical Care Manager (RN) for the outpatient unit in Chicago, IL. Various shifts are available! At La Rabida Children’s Hospital, our mission is simple: we’re dedicated to maintaining and improving
Job Source: La Rabida Children's HospitalChicago, 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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