RN- Health Care (Full-Time

Overview

Full‑time, 40 hours per week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed.

Benefits

Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.

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.

Compensation

The compensation for this role includes a base pay range of $79,040–104,000, 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.

Responsibilities

Collaborate 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 and initiate intensive case management according to program guidelines.

Manage patients in all health‑care settings to assure the appropriate level of care, prevent inpatient readmissions, and ensure medical, environmental, and psychosocial needs are met over the continuum of care.

Act as an advocate through coordination and communication 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 from predictive modeling tools to identify eligible patients for the case management program.

Enroll and manage a case load of patients with complex medical needs, completing 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.

Proficient in current case management standards.

Coordinate health‑care services with appropriate physicians and providers.

Maintain a comprehensive summary and log of all active case management cases as required by the UM/QA Committee and/or health plan.

Serve as a resource for utilization management staff, physicians, office staff, and patients.

Assist with the evaluation and amendment of case management policy and procedures.

Attend continuing education sessions and training relating to job functions as required.

Perform additional duties/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.

Education

Associate's degree in nursing required; Bachelor’s degree in nursing preferred.

Experience

2–4 years of experience working within the primary care or hospital setting as a registered nurse.

Previous experience working within case management preferred.

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