Case Manager RN

Case Manager RN

Requirements

• Must have active and unrestricted RN licensure in the state of IL
• 3+ years of clinical work experience with the adult population
• 1+ year(s) of Case Management experience
• Must be willing and able to travel up to 10% of the time. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy.

Responsibilities

• Administers the care coordination plan to assess patient needs and ensure seamless transitions between different care settings.
• Analyzes complex patient data from medical history, diagnostic test results, and treatment plans, to understand the current health status of the patient.
• Applies in-depth knowledge of case management and nursing practices to organize patient files in an orderly manner for easy retrieval.
• Communicates through internal platforms to securely exchange messages, conduct video conferences, share files, and collaborate on patient care plans.
• Conducts routine utilization reviews to ensure patients have access to appropriate cost-effective care.
• Configures the case management system to organize cases dealing with disease management and utilization review; tracks patient progress and manages specific conditions.
• Coordinates analytics projects to enable case managers to analyze data and generate reports on key performance health indicators.
• Designs complex processes to coordinate discharge planning in a safe and timely transition from the hospital to home.
• Develops resource management to help case managers optimize healthcare with community resources.

Preferred Qualifications

• Compact RN licensure
• Certified Case Manager
• Telephonic Nursing experience
• Home Health experience
• Customer Service experience
• Cold calling experience
• Experience with Medicare population
• Additional national professional certification (CRC, CDMS, CRRN, COHN) is preferred, but not required
• Remote working experience