Nurse Case Manager I responsible for care management of members with chronic care needs. Implementing and coordinating care plans remotely while monitoring effectiveness.
About the role
- Case Manager coordinating healthcare services for members in Cook County, Illinois. Engaging with clients to promote wellness and facilitate access to necessary healthcare services.
Responsibilities
- Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.
- Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.
- Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
- Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care.
- Interacts with members/clients telephonically or in person.
- Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.
- Communicates with member/client and other stakeholders as appropriate.
Requirements
- Active and unrestricted Registered Nurse License in Illinois.
- Minimum 3-5 years clinical practical experience preference required.
- Minimum 2-3 years CM, discharge planning and/or home health care coordination experience.
- Reliable transportation and willingness to travel up to 75% of the time.
- Excellent analytical and problem-solving skills.
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually.
- Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
- Education Associates Required, Bachelor's preferred
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
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