Case Manager Social Worker And/Or Case Manager Registered Nurse Full Time Days

Benefits

• $10,000 Tuition Reimbursement per year ($5,700 part-time)
• $10,000 Student Loan Repayment ($5,000 part-time)
• $1,000 Professional Development per year ($500 part-time)
• $250 Wellbeing Fund per year($125 for part-time)
• Matching 401(k)
• Excellent medical, dental and vision coverage
• Life insurance
• Annual Employee Salary Increase and Incentive Bonus
• Paid time off and Holiday pay

Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.

We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.

Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.

• Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional and financial well-being.
• Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.

From discovery to delivery, come help us shape the future of medicine.

Description

1.0FTE

The Case Manager Social Worker and/or Registered Nurse 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.

Responsibilities:

• Serves as primary liaison between the interdisciplinary team and the patient/caregiver, educates patient/caregiver on the continuum of care and facilitates discharge coordination.
• Follows the patients from admission to discharge.
• The case manager communicates to external payers on behalf of the patient.
• Acts in partnership with the attending physician to closely monitor utilization and LOS.
• Works with the patient/caregiver to plan and facilitate a timely and appropriate discharge plan.
• Forwards assessments and clinical data to payers and external providers to facilitate transitions and payment
• Handles caseload of patients as determined by manager
• Communicates team conference and POC recommendations to patient and family and to third parties as indicated
• Assists with facilitation of team conference to ensure that patient continues to meet LOC criteria and is progressing toward discharge goals in conjunction with interdisciplinary team.
• Works with interdisciplinary team on ensuring procurement of discharge needs for patient in terms of DME, clinical services and ongoing care to support a safe transition to an appropriate LOC
• Facilitates family training as needed in order to support a safe transition to the next LOC
• Assesses need for and provides referrals to community resources to support the patient safely in the community setting
• Coordinates with patient/financial services and admissions to ensure smooth transitions between levels of care and manage concurrent denials
• Provides ongoing education to interdisciplinary team on patients insurance benefits and status of LOS approval
• Requests authorization for continued stay from payers as recommended by interdisciplinary team through concurrent review process. Coordinates appeals on any concurrent denials of requests for continued stay.
• Reviews patients progress and medical necessity for continued stay against protocol and benchmarks and communicates with attending physician and team
• Monitors and communicates resource utilization with attending physician
• Identifies variances from established benchmarks on cost/outcome/LOS and notify physician and team
• Obtains authorization as required from payer for any special services or procedures
• Case Managers in pediatrics assist with managing referrals for IRF and outpatient services as well as assists with referral development objectives
• Case Managers in Pediatrics facilitate return to school after discharge and home/hospital tutoring

 

 

Qualifications

Social Worker

Required:

• Master's Degree in Social Work with current LSW or LCSW license in the state of Illinois.

Preferred:

• Previous experience with Case Management and/or Discharge Planning in a hospital setting
• Previous experience in a rehabilitation setting

Registered Nurse:

Required:

Bachelor’s degree in Nursing with current RN license in the state of Illinois. OR
Master’s Degree in Social Work with current LSW or LCSW license in the state of Illinois.
 

Preferred:

Previous experience with Case Management and/or Discharge Planning in a hospital setting
Previous experience in a rehabilitation setting

Equal Opportunity

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.