Description: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 RN with unrestricted IL active license. Experience with case management.Requires unrestricted driver's license and car. DutiesThrough 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. ExperienceMinimum 3-5 years clinical practical experience preferredMinimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferredConfidence working at home/independent thinker, using tools to collaborate and connect with teams virtuallyExcellent analytical and problem-solving skillsEffective communications, organizational, and interpersonal skills.Ability to work independentlyEffective computer skills including navigating multiple systems and keyboardingDemonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications EducationRN with current unrestricted state licensure in IL.Case Management Certification CCM preferredNotes:M-F 8am-5pm central timeVIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
Description:
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 RN with unrestricted IL active license. Experience with case management.
Requires unrestricted driver's license and car. DutiesThrough 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 preferredMinimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferredConfidence working at home/independent thinker, using tools to collaborate and connect with teams virtuallyExcellent analytical and problem-solving skillsEffective communications, organizational, and interpersonal skills.Ability to work independentlyEffective computer skills including navigating multiple systems and keyboardingDemonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications
EducationRN with current unrestricted state licensure in IL.Case Management Certification CCM preferredNotes:M-F 8am-5pm central time
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