We Are Hiring: Work Schedule: Monday through Friday 8 - 4:30. Availability to support staff evenings and weekends will occasionally be required
What You Will Do: Manage assigned Registered Nurse (RN) case managers, related activities, and workflow to ensure effective and efficient patient care.
Manage professional and clerical associates who work with a range of functions, including but not limited to: Access Authorization and pre-certification, utilization review and denial management, Care Coordination, Collaborative treatment planning, and core measures, Discharge Planning, tracking of the post-acute period and provision of disease management, and contracting internally and externally.
Communicate with administration and medical staff in matters related to appropriateness of hospital admissions, discharge planning, and length of stay.
Serve as content specialist for staff in the areas of utilization criteria, appeal, and review process, and case management system documentation.
Develop staff schedule and revise assignments daily to assure optimal unit coverage and distribution of workload within staffing standards.
Cover on units as needed and serve as a resource for complex case management issues.
What You Will Need: Licensure / Certification / Registration:
Registered Nurse credentialed from the Illinois Board of Nursing obtained prior to hire date or job transfer date required.
BLS Provider credentialed from the American Heart Association (AHA) preferred.
Diploma from an accredited school/college of nursing with experience required.
Current Illinois RN License required
3 years of experience required; 3 years case management complex discharge planning experience preferred
1 year of leadership or management experience required.
Will need strong management skills, strong people skills and clinical skills.
Utilization management and insurance management experience preferred.
Why Join Our Team: AMITA Health, one of the largest health systems in Illinois, is comprised of 19 hospitals and more than 230 sites of care. With more than 900 providers in its medical groups, 26,000 associates and 7,000 physician partners, AMITA Health serves over 6.6 million residents in the greater Chicagoland area.
We are committed to improving accessibility to healthcare in the communities we serve. We hold ourselves accountable to our patients and one another, and we work hard to treat the whole person, body, mind and spirit. Our compassionate, talented team members are the source of our strength, and we invest heavily in their well-being. We offer significant professional opportunities, career advancement potential, comprehensive training and competitive wages.
Equal Opportunity Employer: AMITA Health will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.
For further information regarding your EEO rights, click on the following link to the "EEO is the Law" poster:
Please note that AMITA Health will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. AMITA Health will not solicit money or banking information from applicants.