Nurse Case Manager II

Job Responsibilities: Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/servicesApplication and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefitsUtilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Skills: RN, LCSW, or LCPC with current unrestricted state licensure in IL is requiredThe position will require travel to members' homes up to 50-75% travel. Must live near areas listed due to travel requirement and will work at home in between visits. We want someone who is organized, efficient, and can work independently. Education/Experience: RN, LCSW, or LCPC with current unrestricted IL state licensure REQUIRED #J-18808-Ljbffr SGS Consulting