Nurse Case Manager - HRM-PM11 QA

The nurse case manager is responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital. Facilitates the care of patient by insuring that admissions and continued days are medically necessary, cost-effective, and provided in the appropriate level of care to qualify for reimbursement. Utilizes the five components of case management: assessment, coordination, monitoring, implementation, and evaluation. A degree in nursing is required, as is current licensure as a professional registered nurse in the dtate of Illinois and Basic Life Support certification. Three to five years of professional nursing with experience in the acute care setting required; experience in case management, discharge planning, and/or utilization review preferred.

PI240411445