Case Manager, Registered Nurse Field (Bureau County, IL)
Core
Frontline advocate assessing, planning, and coordinating case management for dual-eligible members (Medicare/Medicaid) with complex health and social challenges.
Role type
Senior IC case manager (registered nurse)
Builds
Holistic care plans and referrals to clinical resources for members with co-morbid conditions
Domain
Healthcare / Social Determinants of Health
Deliverable
client delivery
Required skills
Clinical judgment, motivational interviewing, case management processes, regulatory compliance, data review, problem-solving
Preferred skills
Care management experience, discharge planning, home health care coordination, Certified Case Manager credential, bilingualism
Technologies
MS Word, Excel, Outlook, PowerPoint, proprietary case management systems
Responsibilities
Develop proactive plans of care to enhance member wellness; conduct assessments using claims data and clinical tools; collaborate with interdisciplinary teams and community organizations; interact with members telephonically or in-person (including home visits); present cases at interdisciplinary conferences.
Seniority
Mid-level, hands-on IC
