Jackson Park Hospital is looking for a Full-Time UR/Case Manger who is a Registered Nurse.
You must have a valid license as a Registered Nurse.
We offer:
- Lucrative Benefits
- Free Parking
- Competitive Salary
- Covid Safe Environment
- Free Life Insurance
- Excellent Retirement Plan
The Case Manager is responsible for compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning including implementation and annual review of the Utilization Management Plan.
- Facilitates and Coordinates patient care to decrease fragmentation, enhance quality and insure efficient utilization of resources for targeted patient population.
- Discusses care plans with the patient's physician and patient/family/significant other to assure appropriate services and plan for post-hospital care needs.
- Procures and enhances the accessibility of services to avoid duplication.
- Monitors variances in approved clinical pathways and assists in the revision of the plan if indicated.
- Provides education to patients and their families using appropriate teaching materials.
- Performs pre-admission, admission concurrent, extended stay and retrospective reviews using approved criteria.
- Communicates with attending physicians and health team members to ensure appropriate services and facilitate discharge planning.
- Interacts with payer and external review agencies to coordinate services and maximize reimbursement for services rendered.
Job Type: Full-time
Benefits:
- 401(k) matching
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Healthcare setting:
Schedule:
Experience:
- Utilization review: 1 year (Preferred)
- Case management: 2 years (Preferred)
Shift availability:
Work Location: In person