Case Manager Social Worker
Location: 7435 W Talcott Ave, Chicago, IL 60631
About the role
Responsible for the quality and resource management of all patients admitted to the facility from the point of admission and across the continuum of healthcare management. Works on behalf of the advocate, promoting cost containment and demonstrating leadership to integrate healthcare providers to achieve a perceived seamless delivery of care. The methodology facilitates and ensures the achievement of quality, clinical, and cost-effective outcomes. Performs a holistic and comprehensive admission and concurrent review of the medical record for medical necessity, intensity of service, and severity of illness.
Responsibilities
- Quality and resource management of patients from admission through the continuum of healthcare management.
- Advocate for cost containment and integrate healthcare providers for seamless care delivery.
- Perform holistic and comprehensive admission and concurrent reviews of medical records for medical necessity, intensity of service, and severity of illness.
Requirements
- Minimum 5 years' work experience post-graduation from an accredited school of nursing and a current state Registered Nurse license.
- At least one year of experience in case management, discharge planning, or nursing management.
- Basic to intermediate computer skills.
Qualifications
- Preferred: Five years of acute care nursing experience.
- Preferred: CCM certification or obtained within 1 year.
- Preferred: Knowledge of Milliman Criteria and InterQual Criteria.
- Preferred: Current BCLS certificate.
Benefits
Resurrection Medical Center offers a comprehensive benefits package that provides flexibility to tailor benefits according to individual needs. The Total Rewards package includes:
- Paid time off
- 401K retirement plan
- Medical, dental, and vision coverage
- Tuition reimbursement
- Additional voluntary benefit options
Pay
A reasonable compensation estimate for this role is $35.35 to $47.58 per hour. The exact starting compensation will be determined based on factors such as skillset, years of applicable experience, education, credentials, and licensure.
Schedule
- Full-time
- Day shift