Essential Functions: Under the general supervision of the Manager, nurses in the Case Manager role provide clinically-based case management to support the delivery of effective and efficient patient care. Paces cases from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Partners with Social Workers and collaborates with other health care team members to identify appropriate utilization of resources and to ensure reimbursement. Utilizes criteria to confirm medical necessity for admission and continued stay. With the patient, family and health care team, creates a discharge plan appropriate to the patient's needs and resources.
Current IL RN licensure required. BSN preferred. 3-5 years experience in acute care Nursing required. 3 years experience as a Case Manager in an acute care setting preferred.
EOE of Minorities/Females/Vets/Disability
We began as two health care systems – Provena Health and Resurrection Health Care – joining together in November 2011 in a spirit of healing and hope. As Presence Health, the largest Catholic health system based in Illinois, our team is focused on providing those we serve the care, information and attention they need to achieve their best health.