Case Manager NEX

About the role

The Case Manager, under the direction of the Director of Coordinated Care, utilizes the nursing process to develop, implement, and evaluate case management outcomes for defined patient populations. This individual supports the mission, vision, and values of Advocate Medical Center and contributes to the accomplishment of the purpose and objectives of the medical center.

The Case Manager facilitates optimal outcomes for all parties involved through advocacy, objectivity, and liaison/collaboration with an emphasis on continuity of care, effective communication, and coordination of appropriate healthcare services. The Case Manager utilizes a variety of skills to educate, consult, and assist in the management of an identified patient population in order to achieve the highest quality and best possible outcomes for the patient in a cost-effective manner.

He/she collaborates with a patient care team that includes, but is not limited to physicians, nurses and assistive staff, rehabilitative therapies, respiratory therapy, pharmacy, dietetics, psychosocial support disciplines, infection control, fiscal services, performance improvement, and any other disciplines directly and indirectly involved in patient care.

The Case Manager utilizes a scientific approach in the analysis of patient care, identifying opportunities for the improvement of patient care/outcomes, quality of life, and cost reduction based on current research findings supported in the literature. Further, this individual collaborates actively on a daily basis (Monday-Friday) with the identified case management team in order to facilitate timely achievement of expected patient outcomes. When not on campus, the Case Manager is available by pager, digital phone, and e-mail.

Responsibilities

• Develop, implement, and evaluate case management outcomes for defined patient populations using the nursing process.
• Facilitate optimal outcomes through advocacy, objectivity, and collaboration with an emphasis on continuity of care and effective communication.
• Coordinate appropriate healthcare services to achieve the highest quality and best possible outcomes in a cost-effective manner.
• Collaborate with a multidisciplinary patient care team to support patient care and outcomes.
• Analyze patient care using a scientific approach to identify opportunities for improvement in care, outcomes, quality of life, and cost reduction.
• Collaborate daily with the case management team to facilitate timely achievement of expected patient outcomes.
• Remain available by pager, digital phone, and e-mail when not on campus.

Requirements

• Graduate of an accredited School of Registered Professional Nurses.
• BSN preferred; MSN encouraged.
• Minimum of five years of experience in the care of the assigned patient population.
• Participation in case management and utilization review encouraged.
• Current registration to practice as a Registered Nurse in the applicable state as determined by job location.
• Case Management certification encouraged.