CLINICAL CASE MANAGER - STROGER HOSPITAL - INPATIENT CARE COORDINATION

PLEASE BE ADVISED that this position is covered by the collective bargaining agreement between Cook County and the National Nurses Organizing Committee. Pursuant to the collective bargaining agreement, Cook County will exhaust internal eligible applicants prior to considering external applicants. Cook County is assembling a list of qualified candidates for this position that will be considered should the position not be filled with internal eligible applicants.

Job Title

Clinical Case Manager

Department

INPATIENT CARE COORDINATION

(Inpatient)

Job Title : Clinical Case Manager

Department : INPATIENT CARE COORDINATION

Location : Stroger Hospital

Shift : 8:00AM - 4:00PM

Job Summary :NNOC MEMBERS ONLY

Uses knowledge of disease processes, health care delivery and financing to support effective, efficient inpatient care while acknowledging patient/family preferences, treatment requirements and self-care capabilities to determine and appropriate discharge plan. These and all other activities are performed in compliance with all Cook County Health & Hospitals System (CCHHS) policies and procedures and in collaboration, as appropriate, with physicians, nurses, therapy department members, social workers, and insurance company representatives.

Typical Duties

• Performs an admission review that includes at a minimum the following: an assessment of patient status e.g., inpatient vs. observation; a determination of whether the patient's condition meets medical necessity criteria for inpatient care of if significant discharge barriers exist.
• Validates pay source and physician orders if necessary.
• Collaborates with social work colleague to determine approach to discharge planning and which discipline is most appropriate to lead.
• Calls in review on all cases that require review of whose payer status has not changed. Notifies manager if reviews are incomplete or days are denied.
• Reassesses patient as clinically indicated or required by payer.
• Documents authorizations and case notes according to departmental policy.
• Presents concise, comprehensive review of assigned patients during rounding.
• Identifies concerns regarding quality and risks. Reports same to supervisor.
• Interacts with physicians regarding medical necessity, identification of appropriate discharge, disposition, reasonable alternatives or information necessary to support discharge planning.
• Participates in Quality Improvement (QI) activities, pilots, workgroups and other activities to improve departmental operations.

Minimum Qualifications

• Registered Professional Nurse in the State of Illinois.
• Three (3) years of experience as a Registered Processional Nurse in any of the following steps: inpatient care, home care, ED, or patient centered medical home.

Preferred Qualifications

• Bachelors of Science in Nursing from an accredited institution.
• Previous experience with administering medical necessity criteria.
• Previous care management experience for patients with multiple chronic disease and acute illness.
• Accredited Case Manager (ACM) or Certified Case Manager (CCM).
• Bilingual skills in either English/Spanish or English/Polish.

Knowledge, Skills, Abilities and Other Characteristics

• Knowledge of managed care and impact on patient care priorities.
• Knowledge of managed care, Medicare and Medicaid.
• Knowledge of the admission review process with the ability to conduct patient status assessments.
• Excellent interpersonal skills with the ability to work with a culturally diverse patient population and collaboratively with physicians, nurses, therapy department members, social workers and insurance company representatives.
• Ability to adopt another's point of view to facilitate patient centered goal setting.
• Ability to streamline workflows.
• Ability to make sound judgments.
• Ability to prioritize, plan, and organize projects and tasks.
• Ability to multi-task, manage multiple or competing priorities, and meet deadlines in a fast paced and stressful environment.
• Attention to detail.
• Basic Office Suite skills to include Outlook, Excel and Word.
• Strong initiative.

Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, "Typical Duties" are essential job functions.

Benefits :

• Medical, Dental, and Vision Coverage
• Basic Term Life Insurance
• Pension Plan and Deferred Compensation Program
• Employee Assistance Program
• Paid Holidays, Vacation, and Sick Time
• You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

VETERAN PREFERENCE

PLEASE READ

When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service.

To take advantage of this preference a Veteran must:

• Meet the minimum qualifications for the position.
• Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
• Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable.

OR

A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.

If items are not attached, you will not be eligible for Veteran Preference

VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.

MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.

Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.

CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.

COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER.

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Salary : $44 - $60