Nurse Case Manager

Nurse Case Manager

  Not Disclosed

  Peru, IL (100% Remote)

  3.0 Months

  Not Disclosed

  Not Disclosed

  Pharmaceutical

  $30.86/hour - $35.86/hour

Job Description

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.
• Requires unrestricted driver's license and car. Requires RN, LCSW, or LCPC with unrestricted active license. Experience with case management and IL waiver services is preferred.

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

Education:

• RN, LCSW, or LCPC with current unrestricted IL state licensure REQUIRED

Notes:

Remote with future possibility of onsite

M-F 8-5 CST

Position will require travel to members' homes up to 50-75% travel. Must live near areas listed due to travel requirement and will work at home in between visits. We want someone who is organized, efficient, and can work independently.