American Addiction Centers

Compensation

Full Description

Department: 11200 IL Home Health Divisional - Case Management Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Mon-Fri (days) Pay Range $37.50 - $56.25 CASE MANAGEMENT COORDINATOR - HOME HEALTH LOCATION: OAK BROOK/REMOTE HOURS: DAYS Major Responsibilities: Function as a clinical liaison to internal and external managed care customers. Partner with external case managers to transition patients to appropriate levels of care. Monitors variances in service utilization and implements improvement processes with staff. Monitors service utilization, cost, and rehospitalization. Collaborate with the education department, identifies areas for staff development and education related to managed care. Assess capitated members/patients for home care (as appropriate) including benefit/eligibility verification, medical necessity and appropriateness of referral. Recommends alternative cost-effective solutions where appropriate. Review clinical documentation for managed care payer audits prior to submission to ensure medical necessity has been met in accordance to managed care payer and or state/federal regulations. Assures that care/service is provided to meet desired clinical outcomes and in accordance with contractual arrangements, state/federal regulation, accreditation and professional standards. Provides and documents accurate and timely assessment and dates to external case mangers regarding all home care services as required by payer contracts and on an ongoing bases (non capitated patients). Participate in multi-disciplinary patient care conferences. Provide direction for care provision to facilitate communication and coordination of services, and to promote outcome driven, cost effective care. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: Registered Nurse license issued by the state in which the team member practices. Education Required: Bachelor's Degree (or equivalent knowledge) in Nursing. Experience Required: Typically requires 3 years of experience in home care clinical experience preferred or 2 years experience as a case manager with insurance company. Knowledge, Skills & Abilities Required: Must have excellent communication skills. Must have excellent time management skills. Knowledge of home care regulations. Must have excellent organizational skills. Must have basic knowledge of Microsoft office products ie: Word, Outlook, Excel. Physical Requirements and Working Conditions: Exposed to normal office environment. Operates all equipment necessary to perform the job. COMPENSATION: $74,672.00-$112,112.00 annual base salary We want our teammates and their families to Live Well. Actual compensation offered in the Pay Range will be based on factors such as qualifications, skills, relevant experience and/or training and internal equity. To accompany base pay, we offer a comprehensive benefits package including Competitive Pay Referral Bonus Programs Tuition Assistance Available This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more 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 About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care