Description
We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.
The Nurse Case Manager is responsible for coordinating case management activities with members to evaluate medical needs and facilitate overall wellness.
Key Responsibilities:
- Assess, plan, implement, and coordinate case management activities with members to evaluate medical needs and facilitate overall wellness.
- Develop a proactive course of action to address issues and enhance short-term and long-term outcomes.
- Conduct evaluations of members' needs and benefit plan eligibility.
- Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers.
- Assess the need for referrals to clinical resources.
- Consult with supervisors and others to overcome barriers in meeting goals and objectives.
- Utilize case management processes in compliance with regulatory and company policies and procedures.
Requirements:
- Minimum 3 years of clinical practice experience.
- Minimum 1 year of experience using MS Office Suite applications.
- Current active unrestricted RN licensure in the state of IL.
- Reliable transportation required; mileage is reimbursed.
- Ability to travel 50-75% of the time to meet members face-to-face in Northern suburbs of Chicago.
Preferred Qualifications:
- Case management experience in an integrated model.
- Experience working with adults with behavioral health needs.
Education:
- Associate's degree with RN licensure.
- Bachelor's of Science in Nursing preferred.
Salary: $66,575.00 - $142,576.00 per year
Benefits:
- Medical, dental, and vision coverage.
- Paid time off.
- Retirement savings options.
- Wellness programs.