Hybrid-Remote Case Manager // RN'S & LCSW'S/ CHICAGO & CHICAGO NORTHSIDE

Remote, USA Full-time
MUST RESIDE IN OR NEAR THE CHICAGOLAND AREA TO BE CONSIDERED FOR THE ROLE. SEEKING CANDIDATES IN THE FOLLOWING ZIPCODES: 60616, 60608, 60632, 60609, & 60611 • Monday through Friday • 8:00am - 5:00 PM CST Job Description Case Manager is responsible for health care management and coordination of members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Essential Functions: • Proactively identifies members that may qualify for potential case management services. • Conducts assessment of member needs by collecting in-depth information from the company's information system, the member, member's family/caregiver, hospital staff, physicians and other providers. • Identifies, assesses and manages members per established criteria. • Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs. • Performs ongoing monitoring of the plan of care to evaluate effectiveness. • Conduct member visits for health risk assessments potentially. Job Requirements: • An active and unrestricted valid RN license • 2 years of managed care experience • 2 years of waiver experience • 3 years of clinical experience • Case management experience • Utilization review experience • Must have a valid driver's license and reliable vehicle For immediate consideration email Keyera with resume to [email protected] Job Types: Full-time, Contract Pay: $37.00 - $47.00 per hour Expected hours: 40 per week Benefits: • 401(k) • 401(k) matching • Dental insurance • Health insurance • Life insurance • Paid time off • Vision insurance Education: • Associate (Required) Experience: • Utilization management: 2 years (Required) • managed care: 2 years (Preferred) • clinical experience with case management: 3 years (Preferred) License/Certification: • and unrestricted RN (Required) • unrestricted RN license (Required) Work Location: Remote Apply tot his job
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