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RN Case Manager - Inpatient, Cross Care Continuum - Evanston, IL - Acute Care Case Management

Company: Evanston Hospital
Location: Evanston
Posted on: January 20, 2023

Job Description:

RN Case Manager - Inpatient, Cross Care Continuum - Evanston, ILPosition Highlights:
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Position: RN Case Manager (Continuum Care Manager, Inpatient) - Cross Care Continuum
Location: Glenbrook Hospital
Full Time/Part Time: Full Time, 40hrs/wk
Hours: Day shift with rotation into the weekends
Required Travel: No travel required.--
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What you will need:

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).

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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.

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What you will do:
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Facilitates payor authorization processes and ensures that the patient type assigned is accurate.
Facilitates the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.
Works with the CDI team to ensure that documentation accurately reflects severity of illness and intensity of service.

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Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient progression.
Addresses/resolves system problems impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge so that length of stay is optimized.
Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
Monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.

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NorthShore University HealthSystem (NorthShore) is an integrated healthcare delivery system consistently ranked as a The NorthShore system, headquartered in Evanston, Ill., includes five hospitals ---, , , --and . NorthShore also includes a 900 physician multispecialty group practice, , with more than 140 locations in the Chicagoland area. NorthShore has an established reputation and employs over 10,500 people.
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NorthShore is committed to excellence in its academic mission and supports teaching and research as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine.
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NorthShore was the first health system in Illinois to achieve Magnet-- recognition-the highest, most prestigious honor that demonstrates excellence in nursing and high standards in patient care-something only achieved by 6% of hospitals nationwide. The system earned Magnet re-designation in 2019. When you work for NorthShore, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
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Please explore our website () to better understand how NorthShore delivers on its mission "to preserve and improve human life" through superior clinical care, academic excellence and innovative research.
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NorthShore is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
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EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
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Keywords: Evanston Hospital, Evanston , RN Case Manager - Inpatient, Cross Care Continuum - Evanston, IL - Acute Care Case Management, Executive , Evanston, Illinois

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