RN Case Manager - Care Ally- Naperville

RN Case Manager - Care Ally - Naperville at Duly Health and Care

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 include:

• Comprehensive medical, dental, and vision benefits including healthcare navigation assistance
• Mental health benefit at no cost
• Employer‑provided life and disability insurance
• $5,250 tuition reimbursement per year
• Immediate 401(k) match
• Up to 12 weeks parental leave at 100% pay, plus financial benefit for adoption and surrogacy for non‑physician team members once eligibility is met
• 40 hours paid volunteer time off

The RN Case Manager - Care Ally works in collaboration with physicians, patients and families to promote quality outcomes for patients with complex medical needs.

• Analyze data from predictive modeling tools to identify eligible patients for the Case Management Program.
• Enroll and manage a case load of patients, completing case management attestations and initial assessments per health plan requirements.
• Develop individualized case management plans with prioritized goals and appropriate interventions in compliance with risk‑stratification 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.
• Attend continuing education sessions and training relating to your job functions as required.
• Perform additional duties/tasks as assigned.

• Must hold an active Registered Nurse license in the state of Illinois in good standing.
• Certification in Case Management preferred.
• Current CPR (BLS) certification must be maintained.
• Associate’s degree in nursing required;
  Bachelor’s degree in nursing preferred.
• 2‑4 years of experience working within a primary care or hospital setting as a Registered Nurse.
• Previous case‑management experience preferred.

Base pay range: $79,040–$104,000. Actual pay determined by skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives.

Apply at Duly Health and Care.