RN Case Manager - Care Ally - Cardiology

RN Case Manager - Care Ally - Cardiology

Posted: 1 day ago - Be among the first 25 applicants.

• Full‑time, 40 hours per week. Monday‑Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed.
• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
• Access to a mental health benefit at no cost.
• 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.

The Cardiology RN Care Manager is a critical member of our integrated specialty care team consisting of nurses, dietitians, pharmacists, care coordinators, and physicians. The role focuses on improving patient outcomes, including delaying disease progression, avoiding unnecessary inpatient and emergency department utilization, educating patients on self‑management, and ultimately better long‑term cardiac outcomes.

• Enroll and manage a case load of patients with complex cardiac conditions, including CHF.
• Conduct comprehensive clinical assessments via phone, including medical, behavioral, pharmaceutical, and social needs of the patients per policies and procedures.
• Maintain proactive communication with cardiologists, APPs, PCP offices and other clinical partners to ensure timely clinical escalation, alignment with treatment plans, and coordination of services.
• Coordinate with transition of care team (TCM) to support post‑discharge care, including medication reconciliation and timely follow‑up with Cardiology.
• Inventory and reconcile medications and coordinate with pharmacists and prescribers; encourage medication and treatment adherence through frequent contact with patients.
• Assess home safety and social determinants of health barriers, including transportation, food insecurity, housing instability, and caregiver support; elevate resources where appropriate.
• Perform patient health assessments and surveys as required.
• Facilitate care across the continuum of care, spanning settings such as the home, hospital, and skilled nursing facilities.
• Manage patients during periods of transitions of care to facilitate effective transitions and minimize avoidable readmissions.
• Provide patient and caregiver education; assess the patient’s knowledge of their cardiac condition and provide education and self‑management support.
• Serve as the initial point of contact for escalations and provide clinical oversight to Care Coordinators, including delegation of tasks as appropriate.
• Review and document patient updates and progress.
• Educate patients and facilitate conversations around proactive care decisions, especially relating to advance care plans.
• Analyze data collected from the predictive modeling tools to identify eligible patients for care management.
• Proficient in current Case Management Standards.
• Assist with the evaluation and amendment of Case Management Policy and Procedures.
• Review and act on population health dashboards to address care gaps (annual wellness visits, lack of symptom monitoring, missing labs, etc.).

• 2+ years previous experience working in care management and/or with patients with complex cardiac care.
• Knowledge of chronic conditions, especially targeting heart failure and associated comorbid conditions.
• Strong organizational skills and the ability to prioritize daily work.
• Strong analytical and critical thinking skills; strong community engagement and facilitation skills.
• Effective problem identification and analysis; proactive patient advocacy.
• Excellent verbal communication skills, capable of interacting with people of varying educational levels and backgrounds.
• Core values consistent with a patient‑centered approach to care; ability to show empathy and build relationships with patients and physicians.
• Teamwork: must work effectively as part of a team and adapt behaviors quickly.
• Computer proficiency: 40 wpm typing speed; proficiency in Microsoft Office and mobile/web applications.
• Current Registered Nurse license in the State of Illinois.
• Certified Case Manager (CCM) certification preferred.
• Basic Life Support (BLS) certification required.
• 3+ years combined related education, experience, or certification.
• Prior experience interacting with patients primarily via telecommunication.
• Management experience preferred.

Base pay range: $79,040‑104,000 per year. Pay includes shift differentials, bonuses, and incentives. Base pay is one component of the total rewards package.