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Internship Case Management Processor Jobs in Illinois

VIVA USA INC

Field Case Management Coordinator

Decatur, IL · On-site

$18.75 - $25.25/hr

The Field Case Management Coordinator utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health ...

Sarahbush

$77K - $120K/yr

Case Management Manager Case Management Manager is responsible for staffing, planning and ... Participates in peer review process., Evaluation - Evaluates progress toward attainment of goals ...

Sarah Bush Lincoln

Case Management Manager

Mattoon, IL · On-site

$77K - $120K/yr

Case Management Manager Case Management Manager is responsible for staffing, planning and ... Participates in peer review process., Evaluation - Evaluates progress toward attainment of goals ...

silvercross

Case Management Assistant

New Lenox, IL · On-site

$19.45 - $24.32/hr

Under the Direction of the Manager of Case Management assists in the administration of case ... Provides clerical support and coordination of various processes including utilization review and ...

JAMS, Inc.

Case Manager

Chicago, IL

$20.50 - $26.50/hr

Engages in learning opportunities to expand knowledge in the company's processes and tools to become proficient in case management systems and workflows. * Builds foundational knowledge of ADR ...

JAMS, Inc.

Case Manager

Chicago, IL

$64K - $84K/yr

Engages in learning opportunities to expand knowledge in the company's processes and tools to become proficient in case management systems and workflows. * Builds foundational knowledge of ADR ...

JAMS, Inc.

Case Manager

Chicago, IL · On-site

$64K - $84K/yr

Engages in learning opportunities to expand knowledge in the company's processes and tools to become proficient in case management systems and workflows. * Builds foundational knowledge of ADR ...

EagleOne Case Management Solutions

Be Seen First

Bi-Lingual (Spanish) RN Field Nurse Case Manager

Cicero, IL · On-site

$78K - $85K/yr

From national telephonic and field case management to catastrophic and specialized consultation ... Our steadfast commitment to excellence drives our actions and decision-making processes. We uphold ...

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Internship Case Management Processor information

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Internship Case Management Processor jobs near you

Director Case Management

Ann & Robert H. Lurie Children's Hospital

Chicago, IL

Full-time

Re-posted 12 days ago

Job description

Provides leadership, direction, and coordination for the Case Management Department. Accounts for coordinating, developing, executing, monitoring, and evaluating all case management activities. Develops objectives and operational practices that ensure critical success factors involving utilization management and care coordination are achieved.


1. Assumes responsibility for the oversight of the Case Management department including; clinical resource management, discharge planning activities, and establishing best practice in medical necessity determination and concurrent review activities.

2. Directs the Case Management model that case management services and support at the point of service, with the intent of improving efficiency and effectiveness of the delivery of care (i.e. LOS and cost reduction).

3. Participates in the collection, analysis and reporting of quantitative and qualitative financial and quality data as it relates to utilization management and care coordination activities.

4. Utilizes data to drive decisions and implement performance improvement strategies for the Case Management department.

5. Assures compliance with all regulatory standards regarding required utilization and resource stewardship activities. Collaborates with medical, administrative and clinical staffs to develop systems that improve processes and patient outcomes.

6. Identifies and achieves optimal targeted financial outcomes via the inpatient case management, ED case management, and access case management processes.

7. Serves as a resource person to Patient Financial Services, Revenue Cycle Services, Managed Care, and the Patient Access Center

. 8. Develop and implement department protocols and policies.

9. Participates in the recruitment, development, and retention of high caliber staff members.

10. Collaborates with Case Management Leadership, as well as, with self-directed teams in identifying staff orientation and continuing education needs.

11. Performs employee mid-term and annual performance appraisal/development reviews.

12. Facilitates and organizations the Case Management Meetings to meet continuous education requirements and to communicate strategic organization goals.

13. Actively involved in strategic organization committees that are striving to meet the organizations mission, values, and goals.

14. The authority to hire, separate, promote, demote, write and administer performance evaluations.

15. Other job functions as assigned.


1. RN licensure in the state of Illinois; BSN required; Masters Degree required.

2. Certification in Case Management required (CCM); or willing to obtain within one year of hire

3. Minimum of 5 years progressive hospital and/or case management experience.

4. Working knowledge of Interqual criteria and Midas+.

. Demonstrated knowledge of payer reimbursement methodologies.

6. Results oriented; driver of outcomes; data driven

7. Strong collaboration skills within a multi-disciplinary team.

8. Strong leadership and communication skills directed as eliciting staff and other stakeholder responses and incorporating these where feasible into current processes and related activities.

9. Working knowledge of community resources and/or how to access these systems for appropriate discharge planning modalities.

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