4616 Case Manager Nurse jobs in Hinsdale,IL

Nurse Manager

Chicago Public Schools

Chicago, IL 60602

Mount Sinai Health System

Chicago, IL 60629

RN
Registered Nurse (RN) Case Manager
Comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs
Care coordination and discharge planning
Education to physicians and other members of the team on utilization review
Appropriateness of admission, level of care and external placements
Implementation and coordination of admission, discharge, and transition of care needs
Under the direction of the Director of Case Management and Physician Advisor

Connected Health Care

Lombard, IL 60148

Advocate Health Care

Oak Brook, IL 60523

Advocate Aurora Health

Oak Brook, IL 60523

Client Growth Resources

Evergreen Park, IL 60805

Molina Healthcare

Chicago, IL 60695

At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC).
Experience working within applicable state, federal, and third-party regulations.
Analytic, problem-solving, and decision-making skills.
Organizational and time-management skills.
Attention to detail.
Critical-thinking and active listening skills.
Common look proficiency.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software program(s) proficiency.