Case Manager, Registered Nurse handling patient care for dual eligible populations. Providing care coordination and advocacy for complex health and social challenges.
Responsibilities
Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel
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
Communicates with member/client and other stakeholders
Prepares all required documentation of case work activities
Interacts and consults with internal multidisciplinary team
Provides educational and prevention information for best medical outcomes
Conducts an evaluation of members/clients’ needs and benefit plan eligibility
Requirements
Candidate must reside in Winnebago, Stephenson, Boone County IL or surrounding counties
Ability to travel up to 50-75% of the time within a designated geographic area for in-person case management activities
Active and unrestricted Illinois Registered Nurse (RN) License
3-5 years clinical practical experience
2-3 years care management, discharge planning and/or home health care coordination experience
Confidence working at home/independent thinker
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills
Ability to work independently
Proficiency with standard corporate software applications, including Microsoft Word, Excel, Outlook and PowerPoint
Efficient and effective computer skills including navigating multiple systems and keyboarding
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs including wellness screenings, tobacco cessation and weight management programs
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