RN Care Manager Weekend

Position Highlights

Position: RN Care Manager-Weekend
Location: Evanston, IL
Full Time: 40 hours/4 10-hour day shifts
Hours: Saturday and Sunday plus two additional weekdays

About the Role

The RN Care Manager-Weekend plays a crucial role in facilitating payor authorization processes, ensuring accurate patient assignments, and collaborating with various healthcare professionals to optimize patient care and discharge processes.

Responsibilities

• Facilitates payor authorization processes and ensures patient type accuracy
• Collaborates with the CDI team to ensure accurate documentation reflecting severity of illness and intensity of service
• Maintains active communication with physicians, nursing, and other care team members to promote timely and efficient care delivery and reimbursement
• Works with the CDI team to ensure accurate documentation reflecting severity of illness and intensity of service
• Addresses and resolves system problems impeding diagnostic or treatment progress
• Proactively identifies and resolves delays and obstacles to discharge to optimize length of stay
• Sets up consultations with appropriate disciplines/departments as required to expedite care and facilitate discharge
• Maintains oversight of patient progress, intervening as necessary to ensure patient-focused, high-quality, efficient, and cost-effective care

Requirements

• License: Current professional Nursing Licensure in the state of IL required
• Education: Bachelor's degree required. Bachelor's degree in Nursing from a NLN accredited school of nursing is preferred
• Certification: Clinical certification, such as case management certification, is beneficial. Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross)
• Experience: Minimum of 2 years clinical nursing experience required; Previous experience in Utilization Management, Managed Care or chronic disease management highly preferred. Experience with Electronic Medical Record (EMR) platform preferred. Knowledge of InterQual or MCG criteria is preferred

Qualifications

• Knowledge of InterQual or MCG criteria is preferred

Skills

• Excellent communication and collaboration skills
• Strong organizational and problem-solving abilities
• Ability to work independently and as part of a multidisciplinary team

Benefits

• Premium pay for eligible employees
• Career Pathways to Promote Professional Growth and Development
• Variety of Medical, Dental, and Vision options
• Tuition Reimbursement
• Free Parking at designated locations
• Wellness Program
• Savings Plan
• Health Savings Account Options
• Retail Options with Company Match
• Paid Time Off
• Community Involvement Opportunities

Endeavor Health

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence.

EEO Statement

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.