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Advocate Health Care’s energetic and supportive work culture will allow you to push your skills and career farther than you’d expect. From continuing education and training to work/life balances that ensure you stay close to what’s important to you, Advocate is ready to help you reach the next level.
Job Description
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Case Manager Utilization Review
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Date: 10/14/2009
Location: Libertyville, IL
Facility:CONDELL MEDICAL CENTER
Case Manager Utilization Review - 28257
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Graduate from an accredited school of nursing, college or university.
2-3 years relevant clinical experience
Current nursing license in State of Illinois
Ability to prioritize work
Excellent communication skills
Good problem solving skills
Critical thinking skills
Basic Computer skills
Job Description:
To serve as a liaison between the Medical Center and external payors on issues related to intensity of service and severity of illness for patients. Consultant to physicians, nursing staff, patients, families and ancillary personnel. The position involves coordination of services to improve and maintain quality patient care and appropriate utilization of resources to maximize reimbursement for the Medical Center.
Accountabilities:
1. Liaison for the health care team and external review agencies to assure severity of illness and intensity of services criteria is met and patient lenght of stay is monitored for appropriateness.
2. Assists in the coordination of patient/department activities ensuring efficient utilization of multidisciplinary resources.
3. Facilitates the management of the patient s healthcare needs, in collaboration with the multidisciplinary team.
4. Identifies the variances from established criteria, plans of care, pathways, algorithms and guidelines and facilitates the development of action plans.
5. Responsible for professional growth.
6. Discharge planning for hospital patients.
Spell check accidently not run when job discriptions was previously submitted. Errors noted. Only change is to correct typing and spelling errors.
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