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Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
$38/hr–$57/hr
Full-time
bachelor degree
Health insurance, Dental insurance, Vision insurance, Life insurance, Short-term disability, Long-term disability
Posted 9d ago
~40 hrs/week
Responsibilities
The Inpatient Care Manager conducts patient assessments, develops discharge plans, and coordinates care to ensure high-quality, cost-effective outcomes. They collaborate with the multidisciplinary team to resolve barriers to discharge and maintain compliance with regulatory and utilization management standards.
Requirements
Candidates must hold a Bachelor’s Degree in Nursing and a current Registered Nurse license. A minimum of 2 years of clinical nursing experience is required.
Full job description
Department:
11200 Advocate Condell Medical Center - Case Management
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
M-F 8:00 to 4:30pm. Rotating weekends every 6-8 weeks, rotating holidays.
Pay Range:
$38.20 - $57.30
Inpatient Care Manager (RN)
Advocate Condell Medical Center
FT Days
JOB SUMMARY
Works to enhance the effective utilization of organizational resources to assist the Medical Center in achieving its goals of high-quality, cost-effective patient care and service, and for continuity of care across the continuum. Functions in a manner that supports compliance with regulatory standards and agency requirements.
MAJOR RESPONSIBILITIES Conducts complete assessments, establishes appropriate plans, and initiates interventions within desired timeframes. Collaborates and negotiates effectively with patient, family, and team while striving to achieve patient and organizational goals with regard to patient’s care needs, choice and satisfaction when discharge planning/transitioning care. Utilizes patient/family strengths in the problem-solving process, involving the patient/family and team in the decision-making process beginning on admission and continuing throughout patient’s hospital stay. Provides continuity of care and discharge planning services compliant with regulatory standards by providing coordinated relevant options and services based on assessed needs to ensure patient/family and healthcare team is informed and able to proceed with accountabilities in a timely manner. This includes participating in the communication process to facilitate a smooth transition for patient, family, and staff when patients are transferred. Provides case management services related to various levels of health care, finances, housing, family discord, or illness adjustment, based department scope. This may include managing family dynamics and crisis situations in a timely and professional manner, using community resources effectively, and educating patient/family regarding access to and use of services. Initiates internal and external referrals to assure timely progression of care and transitions. Documents discharge planning interventions and utilization review activity per department and medical center standards in a timely manner. Performs and documents accurate and timely concurrent and retrospective reviews based on approved established criteria as required by department standards. Communicates effectively with the healthcare team. Works in partnership with Social Work and unlicensed support personnel to effectively establish and implement a safe plan of care. Serves as an active member of the Outcome Facilitation Team/Patient Care Multidisciplinary Team and works closely with medical staff, hospital departments and ancillary services in identification and resolution of barriers to discharge, expediting care delivery to avoid delays in timely service provision, and implementing and reporting care coordination, discharge planning and utilization management (UM) activities. Collaborates with managers, physicians, medical directors, advisory groups, and treatment teams for issues related to physician practices and best practices for the patient’s plan of care. Refers cases to physician advisor as needed to ensure efficient progression of care, accurate status, and compliance with regulatory guidelines. Remains knowledgeable in issues of healthcare regulations, reimbursement issues, impact on length of stay and community resources. Completes UM activities as required based on local structure to include providing clinical updates to payers and/or external review organizations, collecting data, coordinating denial activity, supporting UM activity, and managing avoidable delays. Delivers CMS regulatory notices within CMS established timeframes, as appropriate based on-site guidelines. Develops and maintains productive relationships with community-based agencies and networks by representing Advocate Aurora Health Care in a positive manner working collaboratively, internally, and externally, to meet patient/family needs. Works in collaboration with Advocate Aurora Ambulatory Care Management and Continuing Health to meet common goals and outcomes. Serves as an educator and expert resource to medical and hospital staff regarding admission status and acute care criteria, utilization management issues, care coordination and discharge planning needs, and relevant regulatory requirements. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
License/Registration/Certification: Registered Nurse License issued by the state in which the Team Member practices. Level of Education: Bachelor’s Degree in Nursing Years of Experience: 2 years of clinical nursing experience.
KNOWLEDGE SKILLS AND ABILITIES Ability to prioritize and organize work. Effective communication skills. Utilization of critical thinking and timely decision making. Ability to navigate the Electronic Health Record. Basic utilization of MS Office products. Knowledge of Medicare A and B guidelines. Knowledge of Managed Care program requirements/implications. Ability to apply elements of Utilization Management programs.
Physical REQUIREMENTS Must be able to sit up to approximately 50 percent of the workday; stand and walk for the equivalent of several blocks at a time. Must lift up to 10 lbs. continuously, up to 20 lbs. frequently, and up to 50 lbs. occasionally. Manual dexterity required for operation computer and calculator. Visual acuity required for facilitating review of written documents/computer screens, medical records, and to record information accurately. Clear verbal communications and hearing acuity required for receiving instructions and converse on standard telephone. Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone. Exposed to normal office environment; including usual hazards related to operating electrical equipment. Operates all equipment necessary to perform the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
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 teammate's 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, and Short- 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
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Related keywords
Registered NurseCase ManagementUtilization ReviewDischarge PlanningMedicare A and BManaged CareElectronic Health RecordPatient CareRegulatory StandardsClinical AssessmentCare CoordinationMultidisciplinary TeamCMS RegulationsHealthcareInpatient CareMS Office
Leading nationwide provider of substance use treatment offering a full continuum of care. #FreedomFromAddiction
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
2012
Headquarters
Brentwood, Tennessee
LinkedIn followers
32,201
Total funding
$125M
American Addiction Centers (AAC) is a nationwide network of treatment centers, offering a full continuum of care. We take a holistic approach to addiction treatment — by addressing each client as a whole person. We work to consider how factors such as an individual’s lifestyle, environment, health, and co-occurring mental health disorders may play a part in his or her addiction to drugs or alcohol. We use evidence-based treatment approaches to help individuals struggling with substance use and co-occurring mental health disorders to overcome daily struggles and establish a healthy lifestyle.
Our Mission: To restore hope and empower individuals and families impacted by the disease of addiction. United by compassion and a commitment to inclusive care, we provide a foundation for lasting recovery that saves and transforms lives.
Our Vision: To foster a world free from the stigma of addiction, where quality treatment and support are accessible for all.
American Addiction Centers is constantly building our brand and expanding our treatment services to meet the needs of those struggling with substance use and mental health disorders. In order to accomplish this, we need top talented professionals in all departments to help us not only achieve our business goals, but to also continue rescuing those battling addiction. We’d love to have your join our team! See our open positions at americanaddictioncenters.org/careers.
Community Guidelines:
We treat others with respect and communicate with courtesy. We encourage positive engagement and thoughtful dialogue. We do not tolerate defamatory, harmful messages or hate speech, directed at either the company or another individual. We respect the privacy and personal information of our team as well as community members.
We reserve the right to delete or block individuals or users who violate our guidelines.
Offices: 500 Wilson Pike Circle, Suite 360, Brentwood, Tennessee 37027, US · 1171 107th Street, Grand Prairie, TX 75050, US · 2465 E Twain Ave, Las Vegas, NV 89121, US · 12012 Boyette Rd, Riverview, FL 33569, US · 24552 Pacific Park Dr, Aliso Viejo, California 92656, US
Dual DiagnosisMedical DetoxBehavioral Health ServicesLifestyle WellnessResidential Treatmentand Employee Care (EAP & MAP)Health CareAddiction TreatmentPharmaceutical
Leading nationwide provider of substance use treatment offering a full continuum of care. #FreedomFromAddiction
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
2012
Headquarters
Brentwood, Tennessee
LinkedIn followers
32,201
Total funding
$125M
American Addiction Centers (AAC) is a nationwide network of treatment centers, offering a full continuum of care. We take a holistic approach to addiction treatment — by addressing each client as a whole person. We work to consider how factors such as an individual’s lifestyle, environment, health, and co-occurring mental health disorders may play a part in his or her addiction to drugs or alcohol. We use evidence-based treatment approaches to help individuals struggling with substance use and co-occurring mental health disorders to overcome daily struggles and establish a healthy lifestyle.
Our Mission: To restore hope and empower individuals and families impacted by the disease of addiction. United by compassion and a commitment to inclusive care, we provide a foundation for lasting recovery that saves and transforms lives.
Our Vision: To foster a world free from the stigma of addiction, where quality treatment and support are accessible for all.
American Addiction Centers is constantly building our brand and expanding our treatment services to meet the needs of those struggling with substance use and mental health disorders. In order to accomplish this, we need top talented professionals in all departments to help us not only achieve our business goals, but to also continue rescuing those battling addiction. We’d love to have your join our team! See our open positions at americanaddictioncenters.org/careers.
Community Guidelines:
We treat others with respect and communicate with courtesy. We encourage positive engagement and thoughtful dialogue. We do not tolerate defamatory, harmful messages or hate speech, directed at either the company or another individual. We respect the privacy and personal information of our team as well as community members.
We reserve the right to delete or block individuals or users who violate our guidelines.
Offices: 500 Wilson Pike Circle, Suite 360, Brentwood, Tennessee 37027, US · 1171 107th Street, Grand Prairie, TX 75050, US · 2465 E Twain Ave, Las Vegas, NV 89121, US · 12012 Boyette Rd, Riverview, FL 33569, US · 24552 Pacific Park Dr, Aliso Viejo, California 92656, US
Dual DiagnosisMedical DetoxBehavioral Health ServicesLifestyle WellnessResidential Treatmentand Employee Care (EAP & MAP)Health CareAddiction TreatmentPharmaceutical