*Nurse Case Manager II

Illinois, IL 12345

Posted: 03/22/2023 Category: Healthcare Job Number: 119119

Job Description

Case Manager (RN, LCSW, or LCPC) openings with a major managed care company based in the Chicago land area! Starting ASAP! Apply now with Luke H. at A-line!

**We have eight positions for IL residents who live in one of the counties listed below and are interested in doing field case management with the elderly and individuals with disabilities who are approved for in-home or nursing facility care**
  1. South side Chicago (Chatham/South Shore)
  2. Southwest side Chicago (Auburn, Pullman, Beverly, Ashburn, Evergreen Park)
  3. Southwest Suburban Cook County (Chicago Heights, Olympia Fields, Tinley Park) and Will County (Joliet, Lockport)
  4. Southwest DuPage County, Northwest Will County
  5. Lake County
  6. Livingston, McLean, and Ford Counties
  7. Winnebago County
  8. Franklin County

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.
  • Field visits to members' homes are currently on hold due to Covid-19 restrictions, but will resume in the near future. We are currently completing field visits to nursing and supportive living facilities. The Position will require travel to members' homes up to 50-75%. Must live near areas listed above due to travel requirements and will work at home in-between visits.

Pay Rate: $35.87 hourly (plus travel reimbursement)
Hours: Monday-Friday 8am-5pm

Job 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 members 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.

Required Experience:
  • RN, LCSW, or LCPC with current unrestricted IL state licensure REQUIRED
  • We want someone who is organized, efficient, and can work independently.
  • MS Office Suite (Excel, PowerPoint, Word, Outlook) and as well as some special Proprietary Applications.
  • Effective communication skills, both verbal and written; with ability to multitask, prioritize and effectively adapt to a fast-paced changing environment.
Preferred Experience:
  • Experience with case management and IL waiver services is preferred
  • Minimum 3-5 years of clinical practical experience preferred
  • Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred

Why Apply:
  • Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
  • 401k after 1 year of employment: With employer match and profit sharing
  • GREAT Hours! Monday through Friday, 40 hours per week, No Weekends
  • Competitive Pay Rate!​

Keywords: Case Management, Case Manager, CCM, Certified Case Manager, Prior Authorization Nurse, LCSW, LCPC, Licensed Clinical Social Worker, Social Work, LMSW, Licensed Clinical Professional Counselor, License Professional Counselor, LPC, Behavioral Health, Mental Health, Psych, Waiver Services, IL waiver, Illinois waiver services, Discharge Planning, Travel Nurse, Fieldwork, Medicare, Medicare Review, CMS, Medicaid, BSN, ASN, ADN, MSN, Case Management, Intake Coordination, Discharge Planning, Utilization Management, Utilization Review, Home Healthcare, Medical Billing, Medical Coding, Provider Services, Member Services, CMS, Managed Care, MCO, Benefit Verification, Clinical Care, Clinical Service, Clinical Coordinator, Nurse, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Reimbursement Counselor, Medical Customer Service, Healthcare, Inbound Calls, Outbound Calls, Medicare, Medicaid
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