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Registered Nurse Inpatient Case Manager

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Advocate Health Care

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Location:
United States , Kenosha

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Category:
Nursing

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Contract Type:
Not provided

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Salary:

38.20 - 57.30 USD / Hour
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Job Description:

Help patients transition safely through their hospital stay. Partner with patients, families, and the care team to assess needs, coordinate services, plan discharges, and support utilization management.

Job Responsibility:

  • Conduct comprehensive assessments and create timely care plans & interventions
  • Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences
  • Provide continuity of care and discharge planning aligned with regulatory standards
  • Coordinate smooth transfers and handoffs across units and settings
  • Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources
  • Initiate internal/external referrals
  • document discharge planning and UM activities accurately and on time
  • Perform concurrent/retrospective reviews using approved criteria
  • Partner closely with Social Work and support staff to implement safe, effective plans of care
  • Identify and remove barriers to discharge
  • expedite care delivery and report care coordination/UM outcomes
  • Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance
  • Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management)
  • deliver CMS notices within required timeframes
  • Build relationships with community agencies
  • collaborate with Ambulatory Care Management/Continuing Health
  • Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements
  • Provide age-appropriate care per departmental standards

Requirements:

  • Registered Nurse License issued by the state in which the Team Member practices
  • Bachelor’s Degree in Nursing or enrolled
  • 2 years of clinical nursing experience
What we offer:
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Opportunity for annual increases based on performance
  • Premium pay such as shift, on call, and more
  • Incentive pay for select positions

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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