Case Manager NEX-PRN

Part-time, non-benefits-eligible PRN position. Expectation is to work at least once per week, Monday–Friday, 8 am–5 pm, with the ability to work up to 19 hours per week as departmental needs arise.

Pay

Pay range: $38.20 – $57.30 per hour.

Requirements

• Graduate from an accredited school of nursing; BSN required, MSN preferred.
• Minimum 5 years of relevant clinical experience.
• Current licensure to practice as a Registered Nurse in the applicable state.
• Certification in case management highly recommended within 2 years of employment.
• Previous case management experience preferred.

Responsibilities

• Identifies patients who would benefit from case-management interventions based on an initial screening assessment of discharge needs.
• Assesses all relevant data and obtains information by interviewing patient/family and performing objective evaluation of patient needs.
• Develops and implements a Plan of Care in conjunction with nursing to enhance client outcomes in a cost-efficient manner; defines desired patient outcomes (goals) with the multidisciplinary team and collaborates with the patient, caregivers, and community service providers to execute the plan.
• Coordinates the discharge-planning process, ensuring discharge-planning needs are completed.
• Evaluates and monitors the effectiveness of the discharge plan, facilitating changes as needed with all members of the multidisciplinary team.
• Documents case-management actions in the Electronic Medical Record and communicates necessary information to providers and payors.
• Participates in multidisciplinary rounds to communicate discharge planning and drive patient progression through the system; establishes partnerships with physicians to achieve institutional goals and contribute to excellent patient care.
• Identifies system issues and suggests interventions to eliminate duplication in services; documents significant variances, identifies trends/process barriers, and participates in developing plans to move patients effectively through the care continuum.
• Monitors medical necessity of admissions, continued hospitalization, and surgical procedures using criteria approved by the medical staff; evaluates appropriate level of care for the patient and notifies Utilization Review staff of necessary changes.
• Utilizes principles of quality improvement in every aspect of performance by participating in unit and organizational quality-improvement activities to develop strategies that reduce or resolve variations in practice.
• Provides age/developmentally appropriate patient planning and communication in accordance with Age-Specific Care Guidelines for the specific age groups served.
• Maintains working knowledge of payer and reimbursement practices impacting the plan of care; demonstrates the ability to guide the patient and family through an evaluation of their options for post-discharge care.
• Seeks opportunities for clinical/management research associated with case management and patient outcomes.
• Acts as a facilitator and change agent in areas related to case management and improved patient care.

Skills

• Good interpersonal, communication (verbal, nonverbal, and listening), and written communication skills.
• Case-management experience.
• Basic computer skills.
• Ability to work in a continually changing work environment.

Work Environment

• May be exposed to infectious and contagious diseases.
• May be exposed to radiation hazards.
• Contact with patients under a wide variety of circumstances.
• Subject to many interruptions and irregular hours.

Physical Requirements

Activity 0%–35% 35%–65% 65%–100% Standing X Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing X

Lifting, carrying, pushing, and/or pulling:

• 20 lbs. maximum: X
• 50 lbs. maximum: X
• 100 lbs. maximum:

Benefits

Although this position is non-benefits-eligible, Advocate Health offers a comprehensive suite of Total Rewards for eligible teammates, including:

• Competitive base compensation within the listed pay range, based on qualifications, skills, relevant experience, and/or training.
• Premium pay such as shift differential, on-call pay, and more, depending on the role.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.
• Paid Time Off programs.
• Health and welfare benefits: medical, dental, vision, life, and short- and long-term disability.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Family benefits such as adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.

Note: Eligibility for programs listed above may depend on FTE or status (e.g., full-time, part-time, per diem, temporary).

About the Organization

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia, and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience, and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health serves nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics, and rehabilitation, as well as organ transplants, burn treatments, and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.