Nurse Case Manager

Nurse Case Manager

  Not Disclosed

  Chicago, IL

  3.0 Months

  Not Disclosed

  Not Disclosed

  Healthcare

  $30.86/hour - $35.86/hour

Job Description

Position Summary:
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.

Duties:
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits.
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Experience :
Minimum 3-5 years clinical practical experience preferred
Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred
Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills.
Ability to work independently
Effective computer skills including navigating multiple systems and keyboarding
Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications

Requires unrestricted driver's license and car. Requires RN with unrestricted active license.

Education:
RN with current unrestricted IL state licensure.
Case Management Certification CCM preferred
Experience with case management and IL waiver services is preferred.

Notes:

8am to 5pm CST Mon-Fri

Position will require travel to members' homes up to 50-75% travel. We want someone who is organized, efficient, and can work independently.