RN Case Manager - Care Ally- Plainfield

At Duly Health and Care, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician‑led team that works as one and puts patients at the center of everything we do. With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high‑quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve. Benefits Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance. Access to a mental health benefit at no cost. Employer‑provided life and disability insurance. $5,250 tuition reimbursement per year. Immediate 401(k) match. 40 hours paid volunteer time off. A culture committed to community engagement and social impact. Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non‑physician team members once eligibility requirements are met. RN Case Manager – Care Ally – Plainfield. Full‑time, 40 hours per week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed. Responsibilities Work in collaboration with physicians, patients, and families to promote quality outcomes for patients with complex medical needs. Increase efficient utilization of health care services; identify chronic or catastrophic cases through the case management process and initiate intensive case management according to program guidelines. Manage patients in all health care settings to assure the appropriate level of care is provided, prevent inpatient re‑admissions, and ensure medical, environmental, and psychosocial needs are met over the continuum of care. Act as an advocate by coordinating and communicating with the health care team and family regarding care planning and implementation of recovery goals. Assess and coordinate resources available to patients and maximize the use of health care benefits. Analyze data collected from predictive modeling tools to identify eligible patients for the Case Management Program. Enroll and manage a caseload of patients with complex medical needs, completing case management attestations and initial assessments in accordance with health plan requirements. Develop individualized case management plans with prioritized goals and appropriate interventions in compliance with risk stratification level requirements. Complete all documentation, member communications, and case closures per policies and procedures. Maintain knowledge of current case management standards; coordinate health care services with appropriate physicians and health care providers. Manage and provide a comprehensive summary and log of all active Case Management Cases as required by the UM/QA Committee and/or health plan. Act as a resource for Utilization Management staff, physicians, office staff, and patients. Assist with the evaluation and amendment of Case Management Policy and Procedures and attend continuing education sessions and training related to job functions as required. Perform additional duties or tasks as assigned. Qualifications Active Registered Nurse License in the State of Illinois in good standing. Certification in Case Management preferred. Current CPR certification (BLS) must be maintained. Associate’s degree in nursing required; Bachelor’s degree in nursing preferred. 2‑4 years of experience working within the primary care or hospital setting as a Registered Nurse; previous experience working within case management preferred. Compensation The compensation for this role includes a base pay range of $67K‑101K with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package. #J-18808-Ljbffr