RN Care Manager Levine Children's Hospital Clinical Care Management FT Days

Pay Range

Job Summary

Facilitates a lifelong proactive partnership with patients to enhance and personalize management of health-related needs. The Care Manager assesses needs plans coordinates and evaluates services of patients with the goal of equipping and empowering individuals and their families to easily access resources and adopt healthy lifestyles that will increase their ability to remain in the most appropriate care setting. Care Managers focus on five primary areas: 1) population management 2) patient self-management support 3) transitions in care 4) resource connection and 5) appropriate resource utilization. Works collaboratively and maintains active communication with the multidisciplinary care team including providers pharmacists social workers behavioral health specialists and nurses to achieve timely appropriate patient management.

Essential Functions

• Utilizes RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes resource utilization clinical expertise and improvement strategies.
• Interacts with patients professionals and the community to achieve continuity of care coordination of services and to document plans of care across multiple care settings.
• Conducts or participates in comprehensive all-system needs assessment for identified patients; knowledgeable of appropriate care-related services to match identified needs disease management for health maintenance and appropriate clinical goal expectations/outcomes for identified population.
• Develops and maintains accurate case records of each referred customer/patient.
• Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems.
• Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement including Medicaid Medicare and Managed Care.
• Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines relevant statues rules and regulations.

Physical Requirements

Work requires walking standing lifting reaching bending and stooping. Must lift a minimum of thirty-five pounds shoulder high. Ability to travel/drive between various locations is required for this position. Requires frequent verbal and written communication in English. Must have intact sense of sight and hearing finger dexterity critical thinking and ability to concentrate. Must be able to respond quickly to changes in assignments. Occasional intermittent noise and exposure to conditions such as dust fumes and chemicals.

Education Experience and Certifications

BSN required. Masters preferred. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency meet the licensure requirements in your home state; or for Non-National License Compact states current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. Two years experience required in health care. Experience includes case management/discharge planning in one of the following settings: Acute care Home care LTC care Physician Office or Managed Care company. Appropriate professional certification required within 3 years of hire date for professional certification per departmental protocol. Clinical competence in disease management and case management principles. Must possess excellent interpersonal communication and negotiation skills problem-solving skills strong organizational and time management skills and the ability to work independently and as a member of the care team. Requires demonstrated knowledge and proficiency in appropriate required per policy guidelines

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Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs competitive compensation generous retirement offerings programs that invest in your career development and so much more so you can live fully at and away from work including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications skills relevant experience and/or training
• Premium pay such as shift on call and more based on a teammates job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical dental vision life andShort- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program