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Prime Healthcare Services

Case Manager RN

Company : Prime Healthcare Services

Location : Evanston, IL, 60202

Job Type : Contractor

Date Posted : 14 January 2026

Overview

• Department: Social Services

• Schedule: Per Diem, 8am to 4:30pm

• Facility: Prime Healthcare St Francis Hospital

• Location: Evanston, IL 60201

Responsibilities

  • Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. 
  • Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. 
  • The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. 

Qualifications

EDUCATION, EXPERIENCE, TRAINING

1.    Starting April 1 2015.  Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license

2.    Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker.  However, RN Case Manager preferred.

3.    Five years acute care nursing experience preferred.  At least one year experience in case management, discharge planning or nursing management, preferred.

4.    Current BCLS certificate, preferred.

5.    Knowledge of Milliman Criteria and InterQual Criteria preferred.

6.    Experience and knowledge in basic to intermediate computer skills.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

Pay Transparency

Saint Francis Hospital offers competitive compensation and a reasonable compensation estimate for this role is $43.00 hour. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Per Diem

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

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Frequently asked questions

Evanston's healthcare sector, especially for case management RN positions, shows moderate competition fueled by several hospitals and outpatient centers. Local demand is steady, reflecting a balanced job market where experienced nurses with case management skills can find promising opportunities without the intense rivalry seen in larger metro areas.

Illinois hospitals, including Prime Healthcare, often favor candidates holding a current Registered Nurse license and certifications like BCLS. Familiarity with utilization review tools such as Milliman and InterQual criteria can also boost a Case RN’s candidacy due to the focus on clinical necessity and cost-effective care management.

A Case Rn excels in managing patient care continuity, interpreting clinical data for resource optimization, and coordinating multidisciplinary teams. Their expertise lies in holistic reviews of patient admissions, ensuring clinical necessity, and facilitating seamless transitions that reduce hospital stay lengths and improve outcomes.

Advancement requires strengthening clinical judgment, mastery of case management software, and leadership in interdisciplinary collaboration. Deep knowledge of healthcare regulations, utilization criteria, and discharge planning further distinguishes Case Managers aiming for senior or managerial positions.

Unlike bedside nurses, RN Case Managers focus on reviewing patient records for medical necessity, coordinating care plans across teams, and advocating for cost-effective treatments. Their role demands a strategic overview of the patient’s healthcare journey rather than direct bedside care.

Prime Healthcare incorporates RN Case Managers as pivotal links between clinical teams and resource management, emphasizing leadership in care coordination. They support patient advocacy while aligning healthcare delivery with cost containment strategies within the social services framework.

Prime Healthcare emphasizes personalized benefits, including professional development resources tailored to Case Managers RN. Employees can access training programs and flexible voluntary options that support career advancement and well-being in the dynamic Evanston healthcare landscape.

The typical hourly rate for this role hovers around $43, but starting pay depends on your experience, credentials, and skill set. Per diem positions offer flexibility, and compensation reflects the acute care nursing expertise required for effective case management in Evanston’s healthcare system.

Part-time RN Case Manager roles like per diem shifts at Evanston facilities provide flexible scheduling options. Although benefits might be limited compared to full-time roles, these positions allow experienced nurses to maintain clinical involvement while balancing personal commitments.

While often used interchangeably, 'Case RN' typically emphasizes registered nursing credentials with case management duties, whereas 'Nurse Case Manager' may signal a broader managerial focus. Searchers in Illinois might find more clinical coordination roles under 'Case RN' due to state licensing nuances.

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