Case Manager Registered Nurse - Field (Kane and LaSalle Counties)
Core
Field-based Registered Nurse Case Manager coordinating care for dual-eligible Medicare/Medicaid members with complex health and social needs in Kane and LaSalle Counties.
Role type
Senior IC Registered Nurse Case Manager
Builds
Integrated care plans and wellness strategies for chronically ill and injured members
Domain
Healthcare / Insurance / Social Determinants of Health
Required skills
Clinical assessment, care coordination, benefit eligibility determination, community resource utilization, telephonic and in-person communication, regulatory compliance, plan of care development, outcome monitoring
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 medical and vocational status of members; develop and implement plans of care; coordinate with providers, employers, and community organizations; facilitate benefit eligibility and return-to-work processes; monitor progress toward health outcomes; conduct home visits and outreach.
Seniority
Mid-level, hands-on IC