Case Manager, Registered Nurse – Field - Kane/LaSalle County IL and Surrounding Areas
Core
A Registered Nurse Case Manager who assesses, plans, and coordinates care for members with complex health and social challenges to optimize wellness and return to work.
Role type
Senior IC Registered Nurse Case Manager
Builds
Integrated health strategies, care plans, and benefit eligibility determinations for dual-eligible populations.
Domain
Healthcare / Insurance / Social Determinants of Health
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, care coordination, benefit eligibility determination, plan of care development, stakeholder communication, regulatory compliance, data analysis, independent problem solving
Preferred skills
Case management experience, discharge planning, home health care coordination, Certified Case Manager credential
Technologies
Microsoft Office 365, EHR portals, VPN, digital communication tools
Responsibilities
Assess and analyze medical/vocational status of members; develop and implement plans of care; coordinate with providers, employers, and community resources; facilitate benefit eligibility and wellness activities; monitor progress toward health outcomes; prepare case documentation.
Seniority
Mid-Senior, hands-on IC
