Nurse Case Manager

Nurse Case Manager

  Not Disclosed

  Chicago, IL

  3 Months

  Not Disclosed

  Not Disclosed

  Healthcare

  $30.86/hour - $35.86/hour

Job Description

Candidates can live anywhere in IL. This is a hybrid role; they will be mostly WFH with some member visits in the area they live as needed.

Description:

Help us elevate our patient care to a whole new level! Join our team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country.

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. 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 required
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 RN, LCSW, or LCPC with unrestricted active license in IL.

Education
RN, LCSW, or LCPC with current unrestricted IL state licensure REQUIRED
Case Management Certification CCM preferred



Notes:

8am to 5pm CST Mon-Fri
safety sensitive

Candidates can live anywhere in IL. This is a hybrid role; they will be mostly WFH with some member visits in the area they live as needed.