St Francis Medical Center

Case Manager Social Worker

St Francis Medical Center$73K — $99K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years post-graduation experience from an accredited nursing school with a current RN license
  • 1+ year of case management, discharge planning or nursing management experience
  • Basic to intermediate computer skills proficiency
  • 5 years of acute care nursing experience preferred
  • CCM certification or willingness to obtain within 1 year
  • Familiarity with Milliman and InterQual Criteria preferred
  • Current BCLS certification preferred

Responsibilities

  • Manage quality and resource allocation for admitted patients throughout their care continuum
  • Act as an advocate to promote cost efficiency in patient care
  • Lead integration of healthcare providers for seamless delivery of services
  • Conduct holistic and thorough admission assessments
  • Perform concurrent medical record reviews for necessity and service intensity

Benefits

  • Comprehensive benefits package with customizable options
  • Paid time off for work-life balance
  • 401K retirement plan to support future savings
  • Medical, dental, and vision coverage options
  • Tuition reimbursement to support further education
  • Wide range of voluntary benefit options available
Full Job Description
Overview
  • Department: Social Worker
  • Schedule: Full-time days
  • Facility: Resurrection Medical Center
  • Location: 7435 W Talcott Ave, Chicago, IL 60631
Responsibilities

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required Qualifications:

1. Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license2. At least one year experience in case management, discharge planning or nursing management3. Experience and knowledge in basic to intermediate computer skills.Preferred Qualifications:

4. Five years of acute care nursing experience. preferred5. CCM or obtained within 1year6. Knowledge of Milliman Criteria and InterQual Criteria preferred.7. Current BCLS certificate, preferred

Pay Transparency

Resurrection Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $35.35 to $47.58. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

Employment StatusFull Time ShiftDays

About St Francis Medical Center

St. Francis Medical Center is a for-profit hospital in Lynwood, California, United States, owned by Prime Healthcare Services.
Learn more about St Francis Medical Center

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