Case Management, In-House Registry

Job Description

Be a part of a world-class academic healthcare system at UChicago Medicine as an Case Manager, In-House Registry (RN) at our main medical campus. In this role you will partner with the rest of the clinical team to provide patients the highest quality of care. Our Care Coordination team delivers the highest quality of care while ensuring continuation of care for our patients is a seamless process.

The Case Manager, as part of a multidisciplinary team, including physicians, and payers, ensures the patient’s progress in the acute episode of care through post discharge and is quality driven while being efficient and cost effective. This role works with the attending and consulting physicians to facilitate effective and efficient transition through the process of hospitalization; works collaboratively with all members of the multi disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers as contracted. The incumbent seeks the expertise of social workers to resolve psychosocial patient care issues and to develop complex patient transition/discharge plan as needed. The incumbent interacts with patients, family members, healthcare professionals, community, and state agencies in this effort.

Essential Job Functions:

• Works in conjunction with physicians, nurses, inter disciplinary team and others to assess, plan and initiate patient plan of care and initiate patient plan of care
• Facilitates and coordinates details of actual discharge to appropriate agencies
• Conducts inpatient admission reviews for appropriateness of setting, admission status (IP/OP) and level of care (intensive care, general care)
• Using approved medical necessity criteria, conducts admission and continued stay review to ensure appropriateness of the setting and timely implementation of the plan of care, to monitor the patient’s progress along the continuum of care and intervenes as necessary to ensure appropriateness of setting and that the services provided are quality, efficient and cost effective
• Insures that all critical elements of the care and discharge plan have been communicated to multi-disciplinary team, patient and family including expediting teaching needs.
• Identifies, plans and facilitates strategies to reduce length of stay and inappropriate resource consumption, working in collaboration with attending and consulting physicians

Required Qualifications: 

• Required Education: Associate Degree in Nursing; BSN degree or higher preferred. Associate Degree Nurses are required to enroll in a BSN program within six (6) to nine (9) months of hire, and make progress toward and complete their BSN degree within 30 months. ADN nurses receive 100% tuition reimbursement towards a BSN degree from an accredited program.
• A current Illinois Registered Nurse license
• 3 or more years of clinical experience

Position Details:

• Job Type/FTE: Registry (.20 FTE)
• Shift: Day shift/weekends
• Work Location: Hyde Park
• Unit/Department: Care Coordination
• CBA Code: NNU National Nurses United