Job Description
Job Title: Case Manager - Utilization Review
8 HR Days
Duration: 13 weeks
Location: Chicago, IL
Guaranteed Hours: biweekly guarantee- 72/80 hours –
Shift Requirements: Float Requirements: will work throughout all units of the hospital
Required Certifications:
- RN IL License
- BSN
- COVID Vaccine
Minimum Experience:
- 3-5 years of current hospital acute medical Case Management/Utilization Review experience with discharge planning
- Charting Experience Required:
- Meditech Expanse – RNs are required to complete Step 1 of modules prior to start date with facility. Steps 2 & 3 completed at facility.
Skillset:
- UR experience with InterQual and EQH.
- Through review of the medical record determines patient’s severity of illness, medical necessity and need for acute care.
- Advocates for adherence to appropriate evidence based practice standards by querying/prompting physicians and nursing to implement/order/document appropriately to support the severity of patient illness.
- Monitors length of stay, resource utilization, quality of care, timeliness of service through comprehensive manual chart review.
- Hard worker, Resilient and Manages Change well, social candidates
Unit Information (Bed size, Case type, Patient ratio):
- Case Type-Cases are all medically based.
- Case load-Varies by census and staffing, at full staffing 15-18 pts, social worker can go up to 30, also includes ED and L&D/ICN
Benefits:
Health Insurance
Dental Insurance
Vision Insurance
401 (k)
Life Insurance
Referral program
Employee Assistance Program
Meal Stipends
Housing Stipends
Other
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