Head Nurse

Job Title: Nurse Care Manager 1-$5k Sign on Bonus
Department: Case Management
Shift: 1st
Specialty: Nurse Care Management
Job Number: 2023-2041
Date Posted: 05/24/2023
Position Type:

Job Qualifications:

RUSH UNIVERSITY MEDICAL CENTER
JOB DESCRIPTION

TITLE: Nurse Care Manager 1

General Summary: The Care Manager (CM) works with physician practices and inpatient teams to promote the effective utilization of services and coordination of care for adult, geriatric, neonate, pediatric and adolescent patients. The CM contributes to the team's effectiveness by reviewing plans of care, identifying barriers to effective and efficient utilization of resources, and appraising patients' psychosocial, financial and clinical needs throughout the continuum of care. The CM functions as a liaison between patients, physician practices, the hospital, and the community and ensures that patients'
continuity of care needs are met.
Principal Duties and Responsibilities:
Functions as an expert clinical practitioner within the Case Management team and serves as a
resource to assigned physician practice groups. Shares their professional expertise as a nurse and
serves as a resource for CMs within their team to manage clinically complex cases.
Assesses patients' health care needs, monitors patients' progress, and confers with physician practice
group and health care team regarding variances from the anticipated plan of care.
Provides basic assessment of patient's psychosocial, financial, cultural, and family situation.
Coordinates social services for patients and families to address needs. Seeks assistance as needed
regarding in-depth psychosocial needs.
Manages a complex patient caseload and demonstrates expert ability to coordinate and implement
discharge management services and provide continuity of care planning. Finds community resources
for potential sources of assistance, maintains contact with community resources, and consults with
physicians and inpatient groups regarding use of community resources
Reviews admissions and ongoing stays of patients with respect to the medical necessity,
appropriateness, and quality of care. Applies criteria, performs concurrent review process. Works
with physicians and Medical Director regarding Case issues and concurrent denials an indicated.
Applies pathways/guidelines, assesses variances, and proposes interventions as indicated.
Participates in the development, implementations and evaluation of pathways/guidelines and process
improvement plans.
Collaborates with inpatient staff and physician groups to determine goals for length of stay
management and discharge management activities. Promotes cost-effective quality care services
Monitors and reports potential quality issues and makes recommendations when appropriate.
Utilizes the CM information system and appropriate technologies. Monitors variances and trends
related to select goals. Assist CM team and hospital groups to develop action plans and address
identified opportunities for improvement.
Promotes customer satisfaction among patients, families, physicians, external case managers, payers,
vendors, and inpatient staff. Actively promotes ICARE principles.
11. Serves on hospital-wide and departmental committees when applicable.
12. Performs basic administrative tasks related to job: --- e.g. time planning, recording reports and other
routines as requested. Provides training, supervision, and orientation for staff and new employees as
needed. Makes professional judgements with minimal administrative supervision. Maintains
professional growth by attendance at various department, institutional, and external meetings,
seminars, and workshops.
Knowledge, Skills and Abilities:
Current license in Illinois as rRegisteredNurse (RN). Ability to perform all job components and serve
as a team resource for clinically complex cases within their professional expertise. (Nursing)
Bachelors in Nursing from an accredited university or comparable educational preparation.
Two years' experience as a health care provider for the neonate, pediatric, adolescent, adult and /or
geriatric patient, and expert knowledge incase-managementt, discharge planning, social service, and
criteria applications are required.
Ability to perform tasks independently, prioritize workload, and analyze data are required.
Experience with informationsystemsm and windows technology and competency within the CM
Information System.
Team building skills and flexibility is crucial.
Ability to travel throughout the Medical Center.
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this
job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Rush University Medical Center is one of the country's leading medical centers pushing the boundaries of healthcare services with innovative, compassionate, and accountable team members. Are you ready to challenge and grow your skills, contribute to providing top-quality patient care, and enhance your career? Rush is a diverse and inclusive culture and offers a competitive salary, and a valuable compensation package including health, dental and vision benefits, retirement, health savings accounts, and tuition assistance to invest in your future.