Case Manager, Registered Nurse – Field

Responsibilities

• Help elevate patient care through industry-leading support in serving dual eligible populations
• Collaborate with members, providers, and community organizations to address health care and social determinant needs
• Utilize a collaborative process of assessment, planning, facilitation, and care coordination
• Act as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel
• Implement and coordinate all case management activities relating to catastrophic cases and chronically ill members/clients
• Communicate with members/clients and other stakeholders as appropriate
• Prepare all required documentation of case work activities as appropriate
• Consult with internal multidisciplinary team to help member/client maximize health outcomes
• Provide educational and prevention information for best medical outcomes
• Monitor member/client progress toward desired outcomes

• Candidate must reside within Cook County, Illinois (IL), or be willing and able to travel to Cook County, Illinois (IL)
• Candidate must possess reliable transportation and be willing and able to travel up to 50% of the time in Cook County, IL
• Candidate must have active and unrestricted Registered Nurse (RN) in Illinois
• 3+ years clinical practical experience as a Registered Nurse (RN)
• 2+ years’ experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
• 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

• Case Management
• Care Coordination
• Clinical Assessment
• Documentation Preparation
• Health Outcome Monitoring

• Effective Communication
• Organizational Skills
• Interpersonal Skills
• Independent Thinking
• Collaboration

• Active Registered Nurse (RN) License