Responsable de Missions Audit clé dans l'audit légal et contractuel chez Exco Socodec. Supervisant les équipes et assurant la qualité des travaux, avec un portefeuille diversifié de clients.
About the role
- Case Manager supporting healthcare teams through assessment and care planning at Swedish American Hospital. Requires on-site presence in Illinois for coordinated patient support.
Responsibilities
- Serve as a liaison between members/clients, families, employers, providers, insurance carriers, and healthcare personnel as appropriate.
- Implement and coordinate case management activities for catastrophic and chronically ill members across the continuum of care, including consultant referrals, home care, community resources, and alternative levels of care.
- Interact with members/clients both telephonically and in person while working on‑site at Swedish American Hospital , including meeting with members during inpatient admissions.
- Assess medical, functional, and vocational status to develop and implement individualized plans of care that support optimal health outcomes, benefits eligibility, and timely return to work or baseline functioning.
- Communicate effectively with stakeholders including medical providers, attorneys, employers, and insurance carriers.
- Prepare timely and accurate documentation of all case management activities.
- Collaborate with internal multidisciplinary teams to support optimal member outcomes.
- Conduct outreach to treating physicians and specialists to support appropriate care planning.
- Provide education and preventive guidance to promote best clinical outcomes.
- Apply applicable laws, regulations, and payer requirements related to rehabilitation and case management services.
- Monitor member progress toward desired outcomes and adjust care plans as needed.
- Develop proactive strategies to address complex needs and support both short‑ and long‑term wellness outcomes.
Requirements
- Candidate must have active and unrestricted Illinois Registered Nurse (RN) License
- 3+ years of clinical experience, preferably with Medicare and Commercial populations
- Ability to work independently within a hospital‑based environment
- Strong analytical, problem‑solving, organizational, and communication skills
- Proficiency in MS Word, Excel, Outlook, PowerPoint, and proprietary clinical systems
- Efficient computer skills, including navigating multiple systems and keyboarding
- Reliable transportation and the ability to consistently meet on‑site, hospital‑based work requirements at Swedish American Hospital
- 1+ year(s) of experience in care management, discharge planning, or home health coordination (Preferred)
- Willingness to obtain multi‑state RN licensure (company supported) (Preferred)
- National certification (CRC, CDMS, CRRN, COHN, or CCM) (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.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Task Order, Warranty and Repair Manager for Leidos managing CHS - 6 contract operations. Leading relationships and strategies for warranty and repair services with the U.S. Army.
Assistant Manager in Finance Data & Analytics Office managing data strategy alignment and operational demands. Collaborating across teams to implement change and improve customer outcomes.
Corporate Senior Quality Manager overseeing quality management systems, compliance, and continuous improvement across multiple business units. Driving quality culture and risk management initiatives in a regulated environment.
Manager Tender Desk leading the tender function for iBabs, ensuring successful participation in bids. Coordinating with various departments to enhance tender documentation quality and win ratios.
Senior Manager for Care Center Workforce Management at Truist leading strategy and governance. Overseeing performance and enhancing client experience at scale across various locations.
Administrative Services Manager providing support to the SOF AT&L Program Executive Office for Maritime. Managing program execution, documentation, meetings, and communications at MacDill AFB, FL.
Manager, Decision Science leveraging data expertise and statistical principles at Travelers. Driving business strategies through actionable insights and relationship building across departments.
Renewals Manager responsible for managing contract renewals and expansions at Kong. Contributing to the revenue growth in the Asia Pacific region.
Case Manager responsible for interdisciplinary coordination of patient care at PAM Health. Working collaboratively with the team to ensure effective care management and discharge planning.