Inpatient Care Manager jobs in Oak Lawn, IL

Walk me through how you would assess a newly admitted pediatric patient for discharge planning starting on day one, before the discharge date is even known.

whether the candidate builds discharge planning into the whole stay rather than treating it as a last-day task

Tell me about a time a family disagreed with the discharge plan the team thought was best for the child. What did you do?

skill in negotiating with families while keeping the patient's clinical needs and safety central

A physician wants to discharge a patient but you believe the home situation isn't safe yet. How do you handle that conversation?

comfort pushing back on physicians using clinical and psychosocial evidence, not just deference

How do you keep track of Medicare A and B guidelines and managed care requirements when they affect a patient's length of stay?

actual working knowledge of payer rules versus surface familiarity

Tell me about a case where insurance denied coverage for continued stay or a service the patient needed. What did you do next?

experience with the denial and appeal process and working with physician advisors

What does a concurrent review look like for you day to day, and how do you decide when a case needs to go to the physician advisor?

whether they actually understand utilization review workflow, not just discharge planning

Describe a time you had to coordinate a discharge involving several departments or outside agencies at once. How did you keep everyone aligned?

ability to run cross-functional coordination without dropping details

You're delivering a CMS regulatory notice within a required timeframe and the family is upset and confused by it. How do you handle that conversation?

ability to balance regulatory obligation with compassionate communication