Nurse Case Manager II
Job Responsibilities:
- 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 an RN, LCSW, or LCPC with unrestricted active license. Experience with case management and IL waiver services is preferred.
- Using 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 procedures
Skills:
- Position will require travel to members' homes up to 50-75% travel. Must live near areas listed due to travel requirement and will work at home in between visits. We want someone who is organized, efficient, and can work independently.
Education/Experience:
- RN, LCSW, or LCPC with current unrestricted state licensure in IL. REQUIRED
Recommended Jobs
Sales Development Representative
Job Description Job Description Title - Sales Development Representative Location - 1233 W Monroe Street, Chicago, IL (ONSITE) Responsible for qualifying leads at the initial stages in…
Commercial Insurance Producer
Job Description Job Description Description We are seeking an energetic, driven and disciplined individual to join our P&C sales team. This role will give you the opportunity to work independent…
Alterations CSR
From Aisle to Algorithm and for All Life’s Moments, at David’s Bridal, we empower our customers and our employees to stay true to their dreams and find the one, whether that means the event or the wed…
Class A OTR Truck Driver Job
Class A OTR Truck Driver Job Over the road truck driver. 2020 Kenworth double bunk ultra shift w/ 53ft Van. Must stay out min 2-3 weeks. 1099 at the end of the year. No benefits. Independent Contract…
Plastic surgeon Chicago, IL
Job Description Job Description $100,000 SIGN-ON BONUS $30,000 RELOCATION BONUS $525,000 BASE SALARY FIRST YEAR Plastic & Reconstructive Surgery Opportunity An exceptional opport…
Clinical Outpatient Supervisor
Job Description Job Description Become a champion of hope. At Rosecrance, we’ve been leading the way in behavioral health services for over a century. Our team empowers individuals and familie…
Autobody Paint & Body Technician
Job Description Job Description We are seeking experienced Autobody Paint & Body Technicians to join our growing team at Auffenberg Dealer Group in Shiloh, Illinois. As a member of our team, you …
Production Machine Operator
1st Shift Production Machine Operator Location: Aurora, IL Pay: Starting at $21.50 per hour Schedule: Monday – Friday, 6:30 AM – 3:00 PM Overview Aztech Locknut Company is seeking a re…
Virtual Access Manager
As a part of the Patient Access team, the Virtual Access Manager will play a proactive role in supporting patients by enhancing access to therapies across the Hematology and LSD portfolio. Acting as …
Youth Minister and Confirmation Program
The Full-Time Youth Minister and Confirmation Coordinator will play a pivotal role in reviving our youth ministry. The primary focus will be overseeing the current Confirmation program, which currentl…