Case Manager, Registered Nurse – Integrated Care Management

Posted 8ds ago

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Job Description

Care Manager Registered Nurse supporting dual-eligible members through compassionate, coordinated care. Collaborating with interdisciplinary teams to enhance health and wellness outcomes for vulnerable populations.

Responsibilities:

  • Develop proactive care plans to address identified health and social issues
  • Conduct comprehensive assessments using clinical tools and data sources to evaluate member needs and benefit eligibility
  • Apply clinical judgment to reduce risk factors and address complex health and social indicators
  • Use a holistic approach to determine referrals to clinical and interdisciplinary resources
  • Collaborate with supervisors and care teams to overcome barriers and present cases at interdisciplinary case conferences
  • Utilize motivational interviewing techniques to engage members and assess health status
  • Document case management activities in compliance with regulatory and company policies

Requirements:

  • Candidate must reside in Illinois
  • Candidate must have active and unrestricted Registered Nurse license in the state of Illinois
  • 3–5 years of clinical experience
  • Comfortable working independently and virtually
  • Proficient in Microsoft Office Suite and virtual collaboration tools (Teams, Outlook, etc.)
  • Strong communication, organizational, and problem-solving skills

Benefits:

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs including wellness screenings, tobacco cessation, and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

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