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Urgent! UM Case Manager NB, - Full-Time, Days Job Opening In Harvey – Now Hiring The University of Chicago Medicine

UM Case Manager NB, Full Time, Days



Job description

Job Description

Be a part of a world-class academic healthcare system at UChicago Medicine Ingalls Memorial Hospital as a Case Manager for Utilization Review.

Here, you will evaluate, coordinate, and document all activities related to clinical approval/denial processes and communicate relevant information to patient/family, members of multidisciplinary team, hospital departments, physician and payer.

This position is a 100% onsite opportunity.

You will need to be based in the greater Chicagoland area.

The Case Manager performs utilization management functions on all patients: admissions, continued stay reviews, and clinical updates as requested.

They will monitor and implement UM guidelines, communicate key UM functions to nursing units and physicians or their designee, make appropriate referrals to Physician Advisor and hospital Physician Advisor designees, tracks variances, LOS, resource consumption and outcomes.

They will participate in data collection, analytics and reporting outcome data.

Required Qualifications

  • BSN Required 
  • Preference for 3 years prior clinical case management or payer experience
  • Prefer ACM or CCM certification or attainment within 2 years of hire
  • InterQual experience
  • Payer relation experience
  • Position Details

  • Job Type/FTE: Full-Time (1.0) 8-hour shifts
  • Shift: Days
  • Work location: Onsite
  • Unit/Department: Case Manager
  • CBA Code: Non- Union

  • Required Skill Profession

    Healthcare Diagnosing Or Treating Practitioners



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