Case Manager, Registered Nurse - Field (Winnebago County, IL and surrounding areas)
Core
Coordinate care for dual eligible members (Medicare/Medicaid) with complex health and social challenges by facilitating healthcare outcomes, scheduling appointments, and assisting with benefits access.
Role type
Senior IC case management coordinator (registered nurse)
Builds
Care management plans and member support services for dual eligible populations
Domain
Health insurance / Social determinants of health
Deliverable
client delivery
Required skills
clinical judgment, appointment scheduling, benefits navigation, care management tools, analytical problem-solving, independent work, MS Office proficiency, secure system navigation
Preferred skills
care management experience, discharge planning, home health coordination, Certified Case Manager credential, bilingualism
Technologies
MS Word, Excel, Outlook, PowerPoint, proprietary care management tools, EHR portals, Teams, VPN
Responsibilities
Collaborate with members, providers, and community organizations to address full continuum of care needs; utilize care management tools to assist members with accessing benefits and education; facilitate appropriate healthcare outcomes through appointment scheduling and resource identification.
Seniority
Mid-Senior level, hands-on IC