RN Clin Case Mgr

Your Career. Our Company. Together, We Grow. 

At Southern Illinois Healthcare (SIH), we realize that in order to provide our surrounding communities with excellent care, we must begin by providing our employees with that same care and appreciation. We offer rich opportunities to develop and grow professionally, an environment of excellence in patient care, and the awareness that everything we accomplish is a direct outgrowth of the superb efforts and dedication of our employees.

As a non-profit system of almost 4000 employees, we have won national acclaim for our cancer, cardiac, stroke, bariatric, breast imaging, and rehabilitation services.

Case management is responsible for screening on all patients for clinical, financial, psychosocial, and other components that may affect progression of care. Participation with interdisciplinary care team setting goals of care to optimize hospital bed days.

Role Specific Responsibilities

• Performs initial screening and concurrent patient assessment related to appropriateness of the level of care/status (class), diagnosis, procedures performed, and intervenes to expedite the patient’s plan of care.
• Utilizes and maintains competencies with Xsolis platform/tools for risk stratification of medical necessity/ level of care throughout patients’ hospitalization.
• Evaluates the social determinants of health (SDOH) for impact to the care transition.
• Collaboration with social work team to address social issues that affect a safe, effective discharge plan.
• Collaborates with the interdisciplinary team to assess, monitor, implement and evaluate patient care needs during the hospital stay in order to smoothly transition the patient to the next level of care.
• Identification of delays in throughput.
• Interventions to correct delays.
• Tracking of avoidable delays/days to identify patterns or trends that may require corrective actions.
• Collaborates with necessary staff and post-discharge care providers to assure a safe and effective discharge plan.
• Provides and documents discharge planning services in a professional, collaborative, and timely manner to optimize meeting patients' post-hospital discharge care needs.
• Utilizes evidence-based practice standards to guide the evaluation of care, length of stay, medical necessity of services, and appropriate use of organizational and patient centered resources.

Education

• ADN (Associate Degree of Nursing)
• Preferred BSN (Bachelor Science of Nursing)

Licenses and Certification

• Active/Current Illinois RN License

Experience and Skills

• Technical Experience: 3 years Clinical Nursing