3252 Nurse Utilization Management jobs in Chicago,IL

RN Patient Care Navigator

Endeavor Health

Skokie, IL 60076

Registered Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Required
Bachelors Degree Nursing Required
Bachelors Degree Health Administration Required
BLS - Basic Life Support (CPR and AED) - American Heart Association (AHA) Required
2 Years Clinical nursing experience preferred
3 Years Utilization review, discharge planning, case management or disease management preferred
Certified Case Manager (CCM®) - Commission for Case Manager Certification (CCMC) Preferred Or Ambulatory Care Nursing (RN-BC) - American Nurses Credentialing Center (ANCC) Preferred
Knowledge of InterQual or MCG criteria preferred
Experience with Microsoft Office Suite
Experience with Electronic Medical Record (EMR) platform preferred
Strong interpersonal and oral communication skills
Ability to work independently, setting priorities to coordinate care plan efficiently
Able to communicate and work collaboratively with a range of stakeholders and team members
Knowledge of community resources
Proven leadership skills
Adheres to and practices in alignment with contemporary standards of care as established by leading professional organizations, including but not limited to AAACN, ACMA, CMSA
May travel to visit the patient at home from time to time
Licensure and certification requirements included: RN license in Illinois, IDFPR

Host Healthcare

Chicago, IL 60290

Medix

Chicago, IL 60290

Rush University Medical Center

Chicago, IL 60629

Current license and credentials by the state they are assigned.
At least one year of nursing experience required.
Earned Nursing Degree at the Baccalaureate level or higher for those hired after January 1, 2014.
All transfers to Rush University Medical Center or Rush University Medical Group from other Rush entities must have an earned nursing degree at the baccalaureate level or higher prior to the transfer.
Chief Nursing Officer must provide approval for any RNs with ADN degree hired after 10/22/2020, based upon unit need.
ADN RNs hired after 10/22/2020 must show continued enrolment towards a BSN degree with a signature of contract stipulating a BSN degree must be completed within 3 years of hire, Failure to do so will result in termination.
ADN RNS are not eligible for leveling to RN3.
Current CPR Certification.
Analytical ability.
Communication skills in order to lead and teach.
Ability to interact effectively with others in difficult situations.
The ability to check documents for errors, use a keyboard to enter or retrieve data, and closely examine specimens, images or reports.
A specialty certification may be required for certain departments within 12 months of hire.