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For over 100 years, West Suburban Medical Center has supported generations of families in the Oak Park and surrounding areas. Our kind, caring hospital staff have a passion to heal and make a difference in our community. We understand that our employees are the heart of our facility. If you are looking for a family atmosphere, a company committed to professional growth and a culture that embraces our five core values of Quality. Innovation. Service. Integrity. Transparency.
JOB SUMMARY
This Case Manager is responsible for the development, planning, coordination, and administration of functions including activities such as Utilization Review, Discharge Planning, Social Services and Resource Management, including daily review of medical records to determine appropriateness and medical necessity of admissions, continued hospital stay, and use of ancillary services.
JOB QUALIFICATIONS
Must possess a bachelor’s or Associate level degree from an accredited school of nursing.
Current Illinois Registered Nurse License required.
CPR Certification
Ability to establish and maintain effective working relationships with the public.
Must be able to follow directions and to perform work according to department standards when no directions are given.
Must be emotionally mature and able to function effectively under stress.
Must possess crucial thinking skills, effective written and oral communication skills, strong self-initiative, and interpersonal skills.
CCM or CMSA Certified
MS Office Proficient
InterQual or Millman Experience
JOB DUTIES (* denotes “essential function”)
Demonstrates the WSMC Customer Service Values, which are key in providing quality service to patients and customers. *
Assists the Medical Staff in conducting an effective Case Management Program.
Retrieves data from medical records to determine if medical necessity or continued stay of patient meets the approved criteria of the Utilization Review function.
Refers cases not meeting the criteria to Physician Advisor and/or the Utilization Review Committee.
Monitors decisions of Physician Advisor and submit report to UR Committee.
Provides necessary assistance to the Utilization Review Committee.
Establishes and maintains a system to identify “Avoidable Days”
Collects, analyzes, and submits data for presentation to Utilization Review Committee.
Submits reports to appropriate review organizations.
Establishes and maintains criteria for identification and resolution of problems associated with the Case Management/Utilization Review Function.
Prepares status reports as required.
Coordinates the overall discharge planning and social services functions, ensuring compliance with federal and state laws and the JCAHO.
Receives client referrals and responds accordingly.
Assists patients, their families, and physicians with post-acute placement.
Maintains a liaison with community agencies offering services to discharged patients.
Maintains rapport with physicians, co-workers, representatives of other organizations and departments.
Ensure patients receive recommended follow-up services throughout the continuum.
Maintains and files appropriate records.
Contacts Child Protective Services or Adult Protective Services with appropriate referrals what fulfill the legal requirements for reporting.
Interprets rules and regulations set by JCAHO, Illinois Department of Health, and other agencies as applicable.
Performs additional assignments and tasks as assigned by management.
Maintains department and corporate LOS and cost per case goals.
West Suburban Medical Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Full Time
Ambulatory Healthcare Services
$83k-100k (estimate)
10/09/2023
05/23/2024
westsuburbanmc.com
OAK PARK, IL
200 - 500
1914
Private
THOMAS BIELANSKI
$500M - $1B
Ambulatory Healthcare Services
West Suburban Medical Center provides emergency care, behavioral health, surgical care and rehabilitation services.
The job skills required for Case Manager - RN include Case Management, Coordination, Planning, Customer Service, Discharge Planning, CPR, etc. Having related job skills and expertise will give you an advantage when applying to be a Case Manager - RN. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Case Manager - RN. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Case Manager - RN positions, which can be used as a reference in future career path planning. As a Case Manager - RN, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Case Manager - RN. You can explore the career advancement for a Case Manager - RN below and select your interested title to get hiring information.
If you are interested in becoming a Case Manager RN, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Case Manager RN for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Case Manager RN job description and responsibilities
Case Managers act as patient advocates and make sure the needs of the patient are met effectively and efficiently.
02/16/2022: Denver, CO
An RN Case Manager must be able to multitask and handle numerous responsibilities throughout each day.
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Case managers work both within and outside of a hospital or medical facility.
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Work with patients, families and other professionals.
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Case managers work holistically, ensuring that care and discharge plans meet the physical, social, and emotional needs of patients.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Case Manager RN jobs
Continue reading to learn more about the requirements, responsibilities, training, and average salaries of RN Case Managers.
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Get certified as a registered nurse.
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Undergo RN case manager training.
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Earn Case Management Certification.
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While not all healthcare employers require case management nurses to be certified, applicants with relevant certifications will certainly have an advantage when competing for case management nursing positions.
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Step 3: View the best colleges and universities for Case Manager RN.