Nurse Case Manager II - Clinical - ICM CCM Illinois; Hybrid

Position: Nurse Case Manager II - Clinical - ICM CCM Illinois (Hybrid)
Job : 26-70945
Position Type: Full time
Location: Illinois
Work Type: Field + Remote
Est. Pay Range: $35.87/hr. to $39.00/hr.

Telephonic (Hybrid) Case Managers:
Caseloads range from 250 to 500 members, depending on member stratification levels and complexity of needs.
Field Based Case Managers:
Caseloads typically range from 30 to 100 members, depending on market needs and complexity of members’ needs.

Position Summary:

• 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.
• Requires RN, LCSW, or LCPC with unrestricted active license in IL.

Duties:

• 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 procedure

Experience:

• Minimum 3-5 years clinical practical experience required
• 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:

• RN, LCSW, or LCPC with current unrestricted IL state licensure REQUIRED
• Case Management Certification CCM preferred

Employee Benefits:
At Lance Soft, full-time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits:

• Four options of medical Insurance
• Dental and Vision Insurance
• 401k Contributions
• Critical Illness Insurance
• Voluntary Permanent Life Insurance
• Accident Insurance
• Other Employee Perks

Lance Soft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Lance Soft makes hiring decisions based solely on qualifications, merit, and business needs at the time.