Nurse Case Manager II - RN Case Manager

Job Description

Job Description

Here are the job details for your review:

Job Title: Nurse Case Manager II - RN Case Manager - Field Clinical Case Mgr II PCR

Job ID: CVSJP00105674

Duration: 3+ Months Contract (Potential for extension)
Location: Field IL

Pay Rate:$35.86/ HR on W2
Shift Hours:  8am-5pm M - F

TARGET Counties: Cook, DuPage, Will, Lake IL resident who lives in one of the counties listed below and is interested in doing field case management with the elderly and individuals with disabilities who are approved for in-home or nursing facility care.
On each resume, please clearly list which city state county and zip code the candidate is applying for.***

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.
Field Based Case Managers: Caseloads typically range from 30 to 100 members, depending on market needs and complexity of member needs. Mileage reimbursement

Description

The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
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/services
-Application 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 benefits
-Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Experience

Minimum 3-5 years clinical practical experience preferred
Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred
Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills.
Ability to work independently
Effective computer skills including navigating multiple systems and keyboarding
Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications

Education

Requires a RN with an unrestricted IL active license.
Experience with case management.
Case Management Certification CCM preferred