Nurse Case Manager - Downers Grove, IL
1 day ago
Job description
Overview:
RN Case Manager
- Full-Time, 40 hours per week. Monday through Friday, 8:00 a.m. to 4:30 p.m
Benefits:
- Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
- Employer provided life and disability insurance.
- $5,250 Tuition Reimbursement per year.
- Immediate 401(k) match.
- 40 hours paid volunteer time off.
- A culture committed to community engagement and social impact.
- Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
Responsibilities:
The RN Case Manager - Care Ally works in collaboration with physicians, patients and families to promote quality outcomes for patients with complex medical needs. The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive case management according to program guidelines. The Case Manager is responsible for managing patients in all health care settings to assure the appropriate level-of-care is provided, to prevent inpatient re-admissions and ensure that the patients' medical, environmental and psychosocial needs are met over the continuum of care. The Nurse Case Manager acts as an advocate through the coordination and communication with the health care team and family regarding care planning and implementation of recovery goals. In addition, the case manager will assess and coordinate resources available to patients and maximize the use of health care benefits.
- Analyze data collected from the predictive modeling tools to identify eligible patients for the Case Management Program.
- Enroll and manage a case load of patients with complex medical needs, completing case management attestations and initial assessments in accordance with health plan requirements.
- Develop individualized case management plans with prioritized goals and appropriate interventions in compliance with the risk stratification level requirements. In addition, complete all documentation, member communications, and case closures per policies and procedures.
- Proficient in knowledge of current Case Management Standards
- Coordinate Health Care Services with appropriate physicians and health care providers.
- Manage and provide a comprehensive summary and log of all active Case Management Cases as required by the UM/QA Committee and/or Health Plan.
- Act as a resource for Utilization Management Staff, physicians, office staff and Patients.
- Assist with the evaluation and amendment of Case Management Policy and Procedures
- Attend continuing education sessions and training relating to your job functions as required.
- Perform additional duties/tasks as assigned.
Qualifications:
LICENSURE/CERTIFICATION:
- Must be an active Registered Nurse License in the State of Illinois in good standing.
- Certification in Case Management, preferred.
- Current CPR certification must be maintained (BLS)
The compensation for this role includes a base pay range of $67,000-101,000, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package..
Similar jobs
The Case Management Specialist will serve as the front door to Housing Forward's homeless crisis-response system. This position performs in-person assessments to determine immediate housing and stabilization needs. · Clinical and Case Management Responsibilities:Perform appropria ...
2 weeks ago
The Specialist will serve as the front door to the agencys homeless crisis-response. This position performs in-person assessments to individuals and families who walk into the agencies support center to determine immediate housing and stabilization needs as they seek entry into t ...
2 weeks ago
· Helping Hand is seeking a dedicated and compassionate Case Manager/QIDP to join our Case Management Team. In this role, you will serve as a key advocate, communicator, and coordinator for the individuals we support, ensuring each person's goals, rights, and needs are honored. ...
8 hours ago
Nurses with experience in clinical pathway, navigator, or utilization review are strongly encouraged to apply for Nurse Case Manager (RN) positions at hospitals on Incredible Health. · Conduct comprehensive assessments of patients. · Collaborate closely with healthcare providers, ...
1 month ago
At CVS Health we are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. · As the nation's leading health solutions company we reach millions of Americans through our local presenc ...
1 month ago
Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de-escalation services for patients as appropriate. · ...
1 month ago
Spravato Case Manager responsable for submitting prior authorizations and reauthorization for Spravato treatment and tracking authorization status. · Responsible for submitting prior authorizations and reauthorization for Spravato treatment · Follow up on missing authorizations · ...
6 days ago
Helping Hand is seeking a dedicated and compassionate Case Manager/QIDP to join our Case Management Team. · You will serve as a key advocate, communicator, and coordinator for the individuals we support ensuring each person's goals rights and needs are honored. · ...
2 weeks ago
Joining UChicago Medicine AdventHealth is about being part of something bigger. · ...
3 days ago
Position Summary · The Case Manager position is full-time, 40 hours per week (non-exempt, benefits eligible) and will take place at all our NLC locations. The Case Manager will be dedicated to reengaging youth who have disconnected from school and support their return to educatio ...
1 day ago
Position Summary · The Case Manager position is full-time, 40 hours per week (non-exempt, benefits eligible) and will take place at all our NLC locations. The Case Manager will be dedicated to reengaging youth who have disconnected from school and support their return to educatio ...
2 days ago
Provide Case Coordination to Medicaid Members. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members throu ...
1 week ago
DuPagePads is currently seeking qualified candidates to join our team as a case manager. · ...
1 month ago
DuPagePads seeks qualified candidates to join their team as a case manager for people experiencing homelessness. · ...
1 month ago
DuPagePads is seeking a case manager to work with people experiencing homelessness for our Client Service programs. · ...
1 week ago
The Survive to Thrive program will identify and serve human trafficking survivors among immigrant populations. · ...
4 days ago
DuPagePads is currently seeking qualified candidates to join our team as a case manager. As a case manager, you will be responsible for intake, assessment, case management and referral services to program participants who use the Interim Housing Center shelter/Empowerment Center ...
1 month ago
DuPagePads is currently seeking qualified candidates to join our team as a case manager. · ...
3 weeks ago
The Case Manager will provide general leadership, supervision and management over assigned service area and staff. · Maintain a caseload of 25 weekly billable insurance hours. · Ensure Client Rights are being adhered by for all consumers. · ...
1 month ago
Are you looking to gain experience in improving the quality of life of our children and prepare them for a better future? · We are hiring Case Managers to join our team at ACT "Autism Care Therapy.". · Responsibilities: · Provide case management services to children with autism a ...
1 day ago