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Case Manager - Outpatient (RN)

Req #:  112462
Facility:  Advocate Physician Partners
Department:  Nursing
City:  Oak Lawn
Posting Budget Status:  Day
Shift Type:  Full Time - Permanent
Posting FTE:  1

Advocate Physician Partners (APP) brings together more than 4,000 physicians who are committed to improving health care quality, safety, and outcomes for patients across Chicagoland and Central Illinois. APP is a leader in population health management and has garnered wide-spread national recognition for its innovative clinical integration program.  Formed as a care management collaboration with Advocate Health Care, APP supports its physician members in managing the health of their practices with contracting, medical management, electronic medical records and other value-added services.

It’s More Than a Job, it’s a calling

 

CARE MANAGER – OUTPATIENT (RN)

 

 Advocatecare Outpatient Care Management Department

 

SHIFT--Days with an occasional Saturday required.

 

FULL TIME---This team member will be embedded in practices in the south regions around Oak Lawn

 

ADDITIONAL  SKILLS--Care management certification a plus

 

JOB and UNIT SUMMARY:

 

The Care Manager in Advocatecare Outpatient Care Management performs timely coordination of quality healthcare services to meet an individual’s specific healthcare needs in a cost effective manner to promote positive outcomes. Case load includes, but is not limited to, high risk patients identified by Decision Support tools, referrals, claims.

  •  This position serves in an expanded clinical role to operate in collaboration with patients’ primary care team/office and collaborate with hospital care managers, post-acute care managers, and other care partners to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services. May work embedded within an APP/AMG PCP or OB/specialist practice, or telephonically working with a care team.
  •  Manages timely completion of activities on work list and file documentation to ensure all necessary MCO and regulatory timeframe and content requirements are met. Maintains the appropriate number of cases, based on department expectations.
  •  Understands and contributes to the department's defined AdvocateCare measures and department KRAs.
  •  Effective communication with internal and external customers and care providers in a positive and professional fashion in order to promote patient/provider satisfaction, quality of care delivered and an increased awareness of appropriate utilization.

 

REQUIRED QUALIFICATIONS:

 

  •  RN with 4-5yrs of clinical experience.
  •  1-2yrs of which in IPA, PHO, or HMO setting performing UM case management or referral authorization.
  •  Active licensed RN
  •  Competent Computer navigation skills
  •  Ability to demonstrate excellent oral, written and interpersonal skills.
  •  Good organizational skills.
  •  Strong interpersonal skills.
  •  Ability to handle multiple responsibilities.
  •  Knowledgeable in CQI principles. Critical thinking skills and ability to analyze complex data sets required.

 

JOIN ADVOCATE HEALTH CARE – RECOGNIZED AS ONE OF THE BEST PLACES TO WORK IN ILLINOIS!

 

 

 

 

 

 

 

About Advocate Health Care

 

Advocate Health Care, named among the nation’s Top 5 large health systems based on quality by Truven Analytics, is the largest health system in Illinois and one of the largest health care providers in the Midwest. Advocate operates more than 250 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, the state’s largest emergency and Level I trauma network, one of the area’s largest home health care companies, and the region’s largest medical group. Advocate Health Care has 4 teaching hospitals and is a not-for-profit, mission-based health system affiliated with the Evangelical Lutheran Church in America and the United Church of Christ.


Nearest Major Market: Chicago