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RN Case Manager- Mukwonago Hospital- .5FTE Day & PM Rotation

Location:  Mukwonago
Shift Type:  Days - 1st Shift
Weekly Hours:  20

We Are Hiring:


RN Case Manager- Mukwonago Hospital- .5FTE Day & PM Rotation  


Begin your story with ProHealth Care. Enjoy our video series featuring our own employees sharing why they choose ProHealth Care and what they enjoy about working here.


Schedule Details: This .5FTE commits to 20 hours a week, primarily on day shift between Monday through Friday from 8AM-4:40PM. This role may require weekend coverage (to be determined). The training may be at the WMH hospital campus but this role will report to the new Mukwonago Hospital upon opening.  


For more than a century, ProHealth Care has been the health care leader in Waukesha County and surrounding areas – providing outstanding care across a full spectrum of services. We strive to continuously improve our community’s health and well-being by combining skill, compassion and innovation.  All members of our team – whether clinical or non-clinical – have a direct impact on the delivering on our brand promise “The Way You Should Be Treated”. Employees in our corporate departments are a vital part of our overall success and in turn indirectly help us provide exceptional patient care.

What You Will Do:

As a member of the Care Management team, the Case Manager (CM) is responsible for facilitation of precertification and payor authorization processes and status determination at the point of entry in to the hospital from outpatient areas including cath. lab, day surgery and physician offices. This position will proactively prevent denials through assessment and application of Milliman Care Guidelines to determine status for appropriate reimbursement and bed placement. RN CM also facilitates collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement. RN CM's actively participate in the discharge planning process for all patients working collaboratively with payors, providers, patients and families.


Ideal candidate possesses:

  • Excellent communication and negotiation skills
  • Strong analytical and computer skills with prior EPIC experience helpful
  • Experience with pre-acute and post-acute care, as well as, community based resources
  • Ability to work independently and collaboratively with the care providers and business office staff is necessary
  • Promotes safety, cost efficiency and a commitment to quality improvement.


What you will need:

  • Associate's Degree in Nursing (BSN in nursing preferred)
  • Current Wisconsin RN license required
  • Current Basic Life Support (BLS) certification
  • Minimum of 4 years of experience as RN


About Us:


Learn more at ProHealthCare.org/Careers.


ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Do You Fit at ProHealth Care?

Here at ProHealth Care, we strive to be the best we can be, while continually improving the care we deliver. With patient care at the center of all we do, it is ingrained into our culture to attract the best and the brightest to ProHealth Care. We have a promise to our patients and employees: The way you should be treated. We live by this commitment and remain dedicated to creating a warm, safe and welcoming environment.

Nearest Major Market: Waukesha
Nearest Secondary Market: Milwaukee