PLEASE BE ADVISED that this position is covered by the collective bargaining agreement between Cook County and the National Nurses Organizing Committee. Pursuant to the collective bargaining agreement, Cook County will exhaust internal eligible applicants prior to considering external applicants. Cook County is assembling a list of qualified candidates for this position that will be considered should the position not be filled with internal eligible applicants.
Job Title: Clinical Case Manager (HRSA Part A, C, D)
Department: CORE Patient Services
Location: John H. Stroger Hospital
Shift: 8:00AM - 4:00PM
Pay Range: $47.800 - $65.420 per year or per hour
Salary is commensurate with years of experience indicated at time of application submittal. Experience not disclosed or documented at the time of application will not be considered for initial step placement.
Job Summary: NNOC MEMBERS ONLY
Uses knowledge of disease processes, health care delivery and financing to support effective, efficient inpatient care while acknowledging patient/family preferences, treatment requirements and self-care capabilities to determine and appropriate discharge plan. These and all other activities are performed in compliance with all Cook County Health & Hospitals System (CCHHS) policies and procedures and in collaboration, as appropriate, with physicians, nurses, therapy department members, social workers, and insurance company representatives.
This is a grant-funded position. The (Grant 2025 CCH HIV SVCS-POP CENT H H-HRSA) grant will expire on 07-31-2026 with the potential to be renewed.
Job Summary
Uses knowledge of disease processes, health care delivery and financing to support effective, efficient outpatient care while acknowledging patient/family preferences, treatment requirements and self-care capabilities to determine and appropriate discharge plan. These and all other activities are performed in compliance with all Cook County Health & Hospitals System (CCHHS) policies and procedures and in collaboration, as appropriate, with physicians, nurses, therapy department members, social workers, and insurance company representatives.
Typical Duties
Performs an admission review that includes at a minimum the following: an assessment of patient status e.g. outpatient vs. observation; a determination of whether the patient’s condition meets medical necessity criteria for outpatient care of if significant barriers exist.
Validates pay source and physician orders if necessary.
Collaborates with social work colleague to determine approach to discharge planning and which discipline is most appropriate to lead.
Calls in review on all cases that require review of whose payer status has not changed. Notifies manager if reviews are incomplete or days are denied.
Reassesses patient as clinically indicated or required by payer.
Documents authorizations and case notes according to departmental policy.
Presents concise, comprehensive review of assigned patients during rounding.
Identifies concerns regarding quality and risks. Reports same to supervisor.
Interacts with physicians regarding medical necessity, identification of appropriate discharge, disposition, reasonable alternatives or information necessary to support discharge planning.
Participates in Quality Improvement (QI) activities, pilots, workgroups and other activities to improve departmental operations.
Managers the Antiretroviral Pregnancy registry & data entry in collaboration with OB/Gyne attendings
Coordination of care for External Referrals
Minimum Qualifications
Preferred Qualifications
Knowledge, Skills, Abilities and Other Characteristics
Physical and Environmental Demands
This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.
For purposes of the American with Disabilities Act, “Typical Duties” are essential job functions.
BENEFITS PACKAGE
For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/
VETERAN PREFERENCE
PLEASE READ
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service.
To take advantage of this preference a Veteran must:
OR
A copy of a valid State ID Card or Driver’s License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER’S LICENSE AT TIME OF INTERVIEW.
MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.
Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER.
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Welcome to Cook County, IL, the second-most populous county in America with more than 5 million residents. We have long been a global beacon of opportunity and progress, driving ways to grow with our diverse residents, businesses, organizations, and universities.
Led by Cook County Board President Toni Preckwinkle, we take pride in running an open, honest, and efficient government that provides high-quality services to our dynamic center for culture, industry, and travel.
HOW WE WORK FOR COOK COUNTY
Our mission is driven by the Policy Roadmap, a five-year comprehensive policy which aims to foster safe, thriving, and healthy communities through six policy priorities:
• Promoting healthy families through access to community-based healthcare and other public health services;
• Promoting equitable economic and community development;
• Supporting the criminal justice system and the administration of court services;
• Ensuring that Cook County provides responsive, transparent services and develops a thriving workforce that reflects the communities served;
• Providing an innovative infrastructure that will change how we live, work and connect; and
• Supporting healthy, resilient communities that thrive economically, socially, and environmentally.
OUR GUIDING PRINCIPLES:
• Fiscal Responsibility
• Innovative Leadership
• Transparency & Accountability
• Improved Services
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