Job Information
Rush Copley Medical Center Manager/Care Management in Aurora, Illinois
The Manager -Case Management is a leader with accountability for planning, organizing, staffing, coaching, facilitating, and motivating staff members of the Care Management/Appeals team. This Manager is responsible for the department’s operations, including the ED Care Management program, human resources, financial management, and process improvement initiatives. Works with clinical teams and medical staff to evaluate the appropriate utilization of facilities and ensure efficient and effective resource management. Acts in collaboration with other hospital departments to ensure compliance with regulatory requirements, including accurate medical necessity documentation, inpatient claim denial review and appeal management. The Manager provides direction and vision for the department and exemplifies the Rush Copley mission, vision, and values and acts in accordance with policies and procedures. This position works closely with all multidisciplinary team members to assure the highest degree of evidenced-based practice is provided, keeping the care and safety of all patients as a top priority.
Position Requirements :
License: Must be licensed and currently registered to practice as a Registered Nurse
Education: Earned a nursing degree at the baccalaureate level or higher required. Graduate degree preferred. Expected completion within 5 years of hire
Certifications: Specialty certification preferred.
Special Skills: Strong project management and innovation skills. Possesses an in-depth understanding of quality improvement and rapid cycle improvement methodologies. Ability to interact with all members of the interdisciplinary team and to build credible collaborative relationships. Knowledgeable of comparative databases, risk adjustment, statistical process control methods, and decision support tools. Able to work independently with effective follow-through and accountability.
Experience: Experience in Care Management, Utilization Management and Appeals required.
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. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting rush_recruitment@rush.edu.