Job Description
- Job Description:
- Administers the care coordination plan to assess patient needs and ensure seamless transitions between different care settings
- Analyzes complex patient data from medical history, diagnostic test results, and treatment plans, to understand the current health status of the patient
- Applies in-depth knowledge of case management and nursing practices to organize patient files in an orderly manner for easy retrieval
- Communicates through internal platforms to securely exchange messages, conduct video conferences, share files, and collaborate on patient care plans
- Conducts routine utilization reviews to ensure patients have access to appropriate cost-effective care
- Configures the case management system to organize cases dealing with disease management and utilization review; tracks patient progress and manages specific conditions
- Coordinates analytics projects to enable case managers to analyze data and generate reports on key performance health indicators
- Designs complex processes to coordinate discharge planning in a safe and timely transition from the hospital to home
- Develops resource management to help case managers optimize healthcare with community resources
- Requirements:
- Minimum 3-5 years clinical practical experience required
- Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
- Excellent analytical and problem-solving skills
- Effective communications, organizational, and interpersonal skills
- Ability to work independently
- Effective computer skills including navigating multiple systems and keyboarding
- Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications
- Registered Nurse (RN) certification required in Illinois
- Working knowledge of problem solving and decision making skills
- Working knowledge of medical terminology
- Working knowledge of digital literacy skills
- Ability to deal tactfully with customers and community
- Ability to handle sensitive information ethically and responsibly
- Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option
- Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients
- Certified Case Manager is preferred
- Bilingual preferred
- Associates required, Bachelor's preferred
- Benefits:
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
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