What are the responsibilities and job description for the UM Case Manager NB, - Full-Time, Days position at UChicago Medicine?
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
We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities .
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
Must comply with UChicago Medicine’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background check are also required for all employees prior to hire.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine .
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
- Job Type/FTE: Full-time (1.0) 8-hour shifts
- Shift: Days
- Work location: Onsite
- Unit/Department: Case Manager
- CBA Code: Non- Union
We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities .
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
Must comply with UChicago Medicine’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background check are also required for all employees prior to hire.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine .
