Registered Nurse Case Manager

The Field RN Case Manager utilizes a collaborative process of assessment, planning, facilitation, and advocacy to meet individual benefit plans and health needs. Through effective communication and the mobilization of available resources, you will empower members and promote optimal, cost-effective health outcomes. This is a flexible, field-based role perfect for an organized, self-motivated Registered Nurse who thrives on working independently, making a direct impact in members' homes, and working remotely between visits. Key Responsibilities Comprehensive Member Assessments: Conduct thorough assessments of referred members' clinical needs and eligibility using clinical tools, data review, and direct observation during home visits. Case Resolution & Planning: Evaluate benefit plans alongside internal and external programs/services to establish personalized, high-quality care and resolution strategies. Guideline & Policy Application: Apply and interpret standardized case management plans, clinical criteria, policies, procedures, and regulatory standards to ensure appropriate administration of benefits. Quality & Compliance: Execute case management and quality management processes in strict compliance with accreditation standards, regulatory guidelines, and company procedures. Advocacy & Collaboration: Serve as a trusted advocate for members, connecting them with community resources, health education, and support systems. Qualifications & Requirements Licensure: Active, unrestricted Registered Nurse (RN) license in the state of Illinois (Required). Clinical Experience: Minimum 3-5 years of clinical practical experience (Preferred). Case Management Experience: Minimum 2-3 years of experience in Care Management, discharge planning, and/or home health care coordination (Preferred). Location & Mobility: Must live in/near designated service areas in Illinois to support up to 50-75% travel for member home visits. Key Competencies High degree of organization, efficiency, and time-management skills. Ability to work independently and productively in a remote/field environment. Strong critical thinking and clinical judgment. Excellent interpersonal and written communication skills. Work Environment & Schedule Working Hours: Standard schedule is Monday through Friday, 8:00 AM - 5:00 PM CST. Hybrid Field Model Conduct home visits with members within your assigned region and complete administrative responsibilities, documentation, and follow-ups from your home office between visits. Tools Provided Necessary technology and resources to support remote work and mobile documentation. Equal Opportunity Employer Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on click.appcast.io. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package: medical prescription dental vision AD&D life insurance offerings short-term disability 401K plan (all benefits are based on eligibility) This posting is open for thirty (30) days. #J-18808-Ljbffr Randstad USA