Registered Nurse Case Manager

Job Description

Health Advocates Network is seeking a Registered Nurse Case Manager to work at a facility in North Chicago, IL. This is a registry position with our company.



Pay Rate: $60 / hour

*W2

RESPONSIBILITIES

• Develops and implements a comprehensive Utilization Management plan/program


• Performs data/metrics collection on identified program areas; analyzes and trends results, including over- and underutilization of healthcare resources


• Analyzes medical referrals/appointments and general hospital procedures and regulations by monitoring specialty care referrals for appropriateness, covered benefits, and authorized surgery/medical procedures, laboratory, radiology and pharmacy


• Reviews previous and present medical care practices for patterns; trends incidents of under-or over-utilization of resources incidental to providing medical care


• Acts as referral approval authority for designated referrals per local/AF/DoD/national guidance and standards.

This job description is not intended to be all inclusive. Therefore, the employee may be requested to perform other reasonable duties as assigned by the immediate supervisor or other management as required.

 

QUALIFICATIONS

• Bachelor's degree in nursing (BSN)


• Registered Nurse License


• Possess a minimum of two years of inpatient medical-surgical experience or acute rehabilitation within the last three years.


• Possess one of the following certifications or obtain within 6 months of performance start date:
  
  
  
  • Commission for Case Manager Certification Certified Case Manager (CCM)
  
  
  • Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS)
  
  
  • Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN)
  
  
  • American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S).
  
  
  • National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC)
  
  
  • Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC)
  
  
  
  


• Basic Life Support (BLS)


• US Citizen


• NACI background check

If interested, please apply through this job post. You may send a copy of your most recent resume. If you have any questions, please feel free to call at 505-565-5558 and ask to speak with Cameron Monday-Friday (08:30 AM - 05:00 PM PST).