Job Description

Overview:

Throughout communities in Illinois and Wisconsin, 15 hospitals, numerous community-based health centers and clinics, our 15,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day.

Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments.

Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.

HSHS requires COVID-19 vaccines or an approved medical or religious exemption for all colleagues.

HSHS and affiliates is an Equal Opportunity Employer (EOE).

HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. Summary:

Case Manager RN - Utilization Review

Full time - 40 hours per week

Day shifts - 8am - 4:30pm

Every 8th Saturday

In collaboration with the patient/family, social workers, physicians, interdisciplinary team, and payer representative, the Care Manager-RN ensures patient progression through the continuum of care in an efficient and cost effective manner. Identifies, initiates and manages optimal care coordination and discharge planning to develop patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Provides support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Monitors the provision of cost effective care to ensure care is given in the most clinically appropriate setting. Facilitates compliance with regulatory requirements and organizational performance standards, including demonstration of core competencies. Qualifications:

Education

Associate\xe2\x80\x99s Degree or Diploma in Nursing is required.

Bachelor\xe2\x80\x99s Degree in Nursing is preferred.

Experience

2 years of clinical experience is required. Prior case management experience is preferred.

Quality/Process Improvement experience is preferred.

Certifications, Licenses and Registrations

License as a Registered Nurse (RN) in the state of practice is required.

Wisconsin: RNs may practice with a valid multi-state RN license as outlined in the Nurse Licensure Compact rules.

Case Management certification (ACM, CCM, RN-BC) is preferred.

HSHS St. John\'s Hospital