RN Case Management Specialist & Analyst

RN Case Management Specialist & Analyst at Carle Health summary:
The RN Case Management Specialist & Analyst supports the Case Management division by providing education, onboarding, competency management, and data analysis to improve patient care outcomes. This role involves developing evidence-based practices, mentoring team members, and collaborating with leadership to implement standardized processes and educational plans. The incumbent applies expertise in case management, utilization review, and data-driven strategies to enhance care coordination and operational efficiency within a healthcare system.
Overview
$5,000 sign-on bonus and $5,000 relocation (for greater than 100 miles) or $2,500 relocation (for greater than 50 miles) for nurses with 1 or more years experience - External Applicants Only

*** Hybrid Option**
* The Registered Nurse (RN) who serves in the role of System Case Management Specialist/Analyst will serve the Case Management division in orientation and onboarding, competency management, education, role development, building collaborative partnerships with the goal of establishing evidence based best practice with quality outcomes. The Case Management Specialist/Analyst collects and analyzes data; allowing for a data driven approach to identify strategies and resources needed to achieve expected goals.

Helps implement projects, programs, and processes for teams within the Case Management Division. Applies practical knowledge of Case/Care Management to administer excellence with policies, procedures, and plans. The ideal candidate will have a strong analytical background, excellent communication skills, and a passion for improving patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best practices, policies, and guidelines.

Proven leadership abilities and professional accountability through effective communication and relationship-building are pivotal to the success of the incumbent.
Qualifications
License/

Certifications:

Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR);
Certified Case Manager within 2 years - Commission for Case Manager Certification (CCMC)

Education:

Bachelor's Degree:
Nursing
Other Knowledge/

Skills:

Case management experience 2+ years
Responsibilities
Maintain current knowledge of case management and utilization review trends including the entire continuum of care within and beyond hospital walls.

Design and continuously improve/adapt curriculum depending on educational needs.

Develop education strategies incorporating evidence-based research into educational plans, patient discharge and care transition plans including nursing practices.

Analyze data to identify trends, patterns, and opportunities for improvement in patient care management

Serves as a mentor and resource to case management team members, identifying growth opportunities and educational needs.

Promote critical clinical thinking among case management team members and show commitment to professional development.

Develop and implement a standardized approach to onboarding and orientation

Develop, review, and update all case management competency documents.

Work closely with Case Management Regional leadership and Human Resources to ensure efficient onboarding of new team  collaboration with Case Management Regional leadership, develop an annual education plan.

Participate in recruitment, orientation, and retention in identifying new technology and provide leadership for the implementation of new IT technology.

Maintain data analysis, providing insight into critical benchmarks such as length of stay, readmissions, post-acute care metrics, etc..
About Us
Find it here.
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle Bro Menn…