Job Description
- Job Description:
- Help elevate patient care to a new level
- Collaborate with members, providers, and community organizations to address members’ health care and social determinant needs
- Facilitate the delivery of appropriate benefits and healthcare information
- Develop, implement, and support Health Strategies, tactics, policies, and programs
- Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel
- Implements and coordinates case management activities relating to catastrophic cases and chronically ill members/clients
- Interacts with members/clients telephonically or in person
- Develops a plan of care to facilitate the member/client’s appropriate condition management
- Communicates with member/client and stakeholders as appropriate
- Prepares documentation of case work activities as appropriate
- Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status
- Provides educational and prevention information for best medical outcomes
- Utilizes case management processes in compliance with regulatory and company policies and procedures.
- Requirements:
- Candidate must have active and unrestricted Registered Nurse (RN) License in Illinois
- Ability to travel within a designated geographic area up to 50-75% of the time in 60610, 60642, 60622, 60647 and surrounding zip codes for in-person case management activities as directed by leadership and/or as business needs arise
- 3-5 years clinical practical experience
- 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
- Proficiency with standard corporate software applications, including Microsoft Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
- Efficient and effective computer skills including navigating multiple systems and keyboarding
- Benefits:
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues 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 and many other benefits depending on eligibility.
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