Nurse Case Manager Care Coordination Part Time

Nurse Case Manager Care Coordination Part Time Days

• Part-time
• Salary Range Minimum : $40.50
• Salary Range Maximum: $64.80
• Compensation: USD 40.5 - USD 64.8 - hourly

Days Part time, 0.7 FTE,hours are 8-4:40. One weekend every 7 weeks and one holiday per year.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees.

Ready to join our quest for better?

Days Part time, 0.7 FTE,hours are 8-4:40. One weekend every 7 weeks and one holiday per year.

The
Nurse Case Manager
reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

• Assists in coordinating the patient's stay from admission through discharge. Assists to expedite medically appropriate, cost-effective care. Helps to ensure patient is at the right level and site of care, and the patient moves along the continuum of care in a safe and timely manner.

• In collaboration with the patient/family, and members of the health care team, assesses, plans, implements, and evaluates the plan of care and the patient's response to treatment.
• Continually proactive in collaborating and educating physicians and multidisciplinary team inappropriateness of admission, continued stay, utilization of resources and expected LOS.
• Refers appropriate cases to patient financial services, peer review, patient relations, risk management.
• Collaborates with physicians and other health care team members to clarify admission status and plan of care.
• Utilizes all available tools and resources to gain better and complete picture of clinical assessment of the patient: notifies physicians and staff of concerns/variations.
• Relays pertinent information to appropriate care team members relative to admission, continuum of care and concerns related to discharge.
• Ensures that the interdisciplinary care plan and the discharge plan are comprehensive and consistent with the patient's clinical course, continuing care needs, and coordinated with covered services as available.
• Assesses and reassesses the patient for on-going care needs with knowledge of high-risk criteria and initiates referrals to the appropriate resources in a timely manner to progress toward the discharge plan.
• Participates in rounds and complex patient care conferences as indicated, identifying needs, barriers, and action plans.
• Performs utilization management activities of all inpatients and observation patients by applying approved criteria. Notify physician advisor of any outlier cases.
• Provides timely and thorough reviews to third party payers as requested or required. Experiences minimal denials based on lack of medical necessity.
• Has a good working knowledge base of available and diverse extended care providers for general population served. Asks co-workers for references for unfamiliar cases.
• Researches patient insurance plan in order to offer in-network providers of care and allow patient to make informed decisions.
• Partners with the nursing staff and physicians to convey accurate and timely information to post-acute care providers to encourage a smooth hand-off and create a seamless and safe discharge to the next continuum of care.
• Partners…