Registered Nurse Case Manager - Field (Cook County, IL)
Core
Registered Nurse Case Manager who assesses, plans, coordinates, and evaluates healthcare services for dual-eligible members with complex medical, behavioral, and social challenges.
Role type
Senior IC Registered Nurse Case Manager
Builds
Individualized care plans and coordinated care delivery for Medicare/Medicaid dual-eligible populations
Domain
Healthcare / Case Management / Social Determinants of Health
Required skills
Clinical assessment, care coordination, discharge planning, telephonic communication, in-person home visits, interdisciplinary collaboration, disease management education, regulatory compliance, critical thinking, problem-solving
Preferred skills
Certified Case Manager (CCM) certification, experience with dual-eligible populations, social determinants of health expertise
Technologies
Microsoft Office 365, Teams, Outlook, EHR portals, VPN
Responsibilities
Conduct comprehensive assessments of medical, functional, and psychosocial needs; develop and monitor individualized care plans; facilitate access to healthcare and community resources; engage with members via telephonic and in-person visits; collaborate with interdisciplinary teams; educate members on disease management and benefits; maintain accurate documentation; ensure compliance with laws and regulations.
Seniority
Senior, hands-on IC