Healthcare Case Manager
2 weeks ago
At Get It Recruit - Transportation, we are committed to enhancing the accessibility and satisfaction of healthcare services for both patients and providers.
Our approach is driven by a team of physicians who utilize predictive analytics and artificial intelligence to simplify administrative processes and improve the quality of healthcare delivery.
Join us in our mission to transform healthcare for the better.Job Overview
As a Registered Nurse Case Management Specialist, you will be instrumental in improving the quality of member management while ensuring satisfaction and cost-effectiveness. This position requires close collaboration with healthcare teams to effectively navigate and optimize the healthcare system for our clients.
Key Responsibilities
1. Analyze data to determine member eligibility for the Population Health Management Program.
2. Coordinate and deliver timely, effective, and member-focused care in accordance with HMO processes.
3. Oversee case assignments, including outreach, documentation, monitoring progress, and closure.
4. Uphold reporting and documentation standards while participating in collaborative meetings with departmental staff and clients.
5. Assist members in achieving wellness and independence by addressing barriers, social determinants, and psychosocial challenges.
6. Educate members on navigating healthcare options and advocate for cost-effective interventions.
7. Support operational aspects to fulfill customer requirements and enhance satisfaction.
8. Ensure the confidentiality of medical records and sensitive data.
9. Participate in Quality Management/Utilization Management Committee Meetings and other related tasks as necessary.
Qualifications
1. Current Registered Nurse License in Illinois with up-to-date continuing education requirements.
2. A minimum of five years of diverse experience in healthcare.
3. Familiarity with case management principles, healthcare management, and reimbursement processes.
4. Proficiency in motivational interviewing and strong clinical judgment.
5. Excellent verbal and written communication skills.
6. Strong organizational, problem-solving, and time-management skills.
7. Ability to work independently and remotely, managing multiple tasks in a fast-paced environment.
8. Proficiency in MS Office Suite, including Word, Excel, Access, PDF, Outlook, etc.
9. Experience with various Electronic Medical Records (EMRs) and navigating healthcare systems.
10. Reliable high-speed internet connection and a secure home office setup.
Preferred Qualifications
1. Knowledge of utilization review, quality improvement, managed care, or community health.
2. Previous experience in Case Management or Diabetes Care.
3. Prior remote or telephonic work experience.
Compensation and Benefits
We offer a comprehensive compensation package that includes a competitive salary, medical, dental, and vision plans, long and short-term disability, life insurance, and a 401k plan with a generous match. Additionally, we provide a flexible paid time off program that aligns with the demands of the position.
Equal Opportunity Employer
We value diversity, inclusion, and belonging as core components of our company culture. We are committed to equal opportunity employment and do not discriminate based on any protected characteristics.
Security Policy
This position adheres to all security policies and procedures to protect personal health information (PHI) and company intellectual properties.
Employment Type:
Full-Time
-
Healthcare Case Management Specialist
1 week ago
Decatur, Illinois, United States Get It Recruit - Transportation Full timeJoin our dynamic team at a prominent healthcare organization dedicated to enhancing the affordability of healthcare and improving patient outcomes.We empower our staff to make a significant impact by utilizing advanced analytics and technology, enabling healthcare professionals to focus on high-quality, patient-centered care.Why Work With Us?At our...
-
Medical Case Manager
1 week ago
Decatur, Illinois, United States SIU Medicine Full timeJob SummarySIU Medicine is seeking a highly skilled Medical Case Manager to join our team. As a Medical Case Manager, you will be responsible for providing medical case management services to clients with HIV/AIDS, including conducting client intake interviews, developing care plans, and providing referrals to medical and support services.Key...
-
Medical Case Manager
7 days ago
Decatur, Illinois, United States SIU Medicine Full timeJob SummarySIU Medicine is seeking a highly skilled Medical Case Manager to join our team. As a Medical Case Manager, you will be responsible for providing medical case management services to clients with HIV/AIDS, including conducting client intake interviews, developing care plans, and providing referrals to medical and support services.Key...
-
Elderly Care Case Manager
1 week ago
Decatur, Illinois, United States Catholic Charities Full timePosition OverviewRole Summary: The individual in this role will manage and deliver therapeutic interventions to a targeted demographic of elderly individuals and other at-risk groups within the designated service area. This is a part-time role, requiring up to 18 hours of work each week.Key Responsibilities: Provide direct support to clients enrolled in the...
-
Home Defense Paralegal
13 hours ago
Decatur, Illinois, United States Atlanta Legal Aid Society Full timeAbout the RoleThe Atlanta Legal Aid Society is seeking a highly skilled and detail-oriented Paralegal to join its Home Defense Program team. As a Paralegal, you will play a critical role in supporting the program's mission to prevent the loss of homes through foreclosure, predatory lending, or home sale scams.Key ResponsibilitiesCase Intake and Management:...
-
Elderly Guardianship Case Manager
2 weeks ago
Decatur, Illinois, United States Catholic Charities Full timePosition OverviewRole Summary: This position involves supervising and delivering therapeutic interventions to a targeted demographic of elderly individuals and other at-risk groups requiring assistance within the designated service area. This role is part-time, offering up to 18 hours of work per week.Key Responsibilities: Provide direct support to clients...
-
Healthcare Partnership Specialist
2 weeks ago
Decatur, Illinois, United States PruittHealth Full timeCompany Overview:PruittHealth is dedicated to delivering exceptional healthcare services while building relationships based on respect, open dialogue, and professionalism with our patients, residents, clients, and communities. Our commitment to quality care is reflected in the loyalty of our customers as we consistently exceed expectations and cultivate...
-
Healthcare Partnership Specialist
2 weeks ago
Decatur, Illinois, United States PruittHealth Full timePosition Overview:At PruittHealth, we value the unique contributions of each individual. Our mission is to deliver exceptional healthcare while nurturing relationships built on respect, transparency, and professionalism with our patients, residents, clients, and communities. The loyalty of our customers reflects our commitment to exceeding expectations and...
-
Healthcare Services Manager RN
2 weeks ago
Decatur, Illinois, United States Corizon Health Full timeExperience & Requirements Current Registered Nurse license is mandatory At least six (6) years of leadership experience in a medical environment is essential Preferred experience of 5+ years in Correctional Healthcare A Bachelor's degree in a relevant healthcare administration field is desirable Must comply with initial and ongoing security...
-
Healthcare Services Manager
7 days ago
Decatur, Illinois, United States Corizon Health Full timeQualifications & Prerequisites Must possess a valid Registered Nurse license At least six (6) years of supervisory experience in a medical environment is essential Preferred experience of 5+ years in Correctional Healthcare A Bachelor's degree in a relevant field of healthcare administration is preferred Subject to initial and ongoing security...
-
Healthcare Operations Manager
4 days ago
Decatur, Illinois, United States Northside Hospital Full timeJob SummaryNorthside Hospital is a leading healthcare provider seeking a skilled Radiology Supervisor to oversee the daily operations of our radiology department. As a key member of our team, you will be responsible for directing and coordinating the activities of assigned staff, ensuring seamless patient care and regulatory compliance.Key...
-
Elderly Guardianship Case Manager
7 days ago
Decatur, Illinois, United States Catholic Charities Full timePosition OverviewRole Summary: Manage and deliver therapeutic interventions to a distinct group of elderly individuals and other at-risk populations requiring assistance within the designated service area. This is a part-time role, offering up to 18 hours weekly.Key Responsibilities: Provide direct support to clients enrolled in the Elderly Guardianship...
-
Reentry Services Case Coordinator
2 weeks ago
Decatur, Illinois, United States TASC Full timePosition OverviewAt TASC (Treatment Alternatives for Safe Communities), we are dedicated to fostering a healthier, safer, and more equitable society. Since our inception in 1976, we have upheld the conviction that every individual possesses the capacity for positive transformation. Our mission is to advocate for, support, and empower individuals to overcome...
-
Healthcare Admissions Coordinator
2 weeks ago
Decatur, Illinois, United States Decatur Manor Healthcare LLC Full timePosition OverviewDecatur Manor Healthcare LLC, a Specialized Mental Health Rehabilitation Facility (SMHRF), is currently in search of a skilled Admissions Director. This role will initially require part-time commitment, consisting of three eight-hour days each week, with the potential to transition into a full-time position of five eight-hour days as our...
-
Healthcare Professional
4 days ago
Decatur, Illinois, United States TravelNurseSource Full timeJob Opportunity: TravelNurseSource is seeking a qualified ICU/Critical Care RN to join our team.About the Position: Coast Medical Service, a nationwide travel nursing & allied healthcare staffing agency, is dedicated to providing an elite traveler experience for experienced or first-time travelers.Key Responsibilities:Provide high-quality patient care in a...
-
Healthcare Clinic Assistant
2 weeks ago
Decatur, Illinois, United States Huntsville Hospital Full timePosition Overview:The Healthcare Clinic Assistant plays a vital role in delivering exceptional patient care within a clinical environment. This position involves working collaboratively with a dedicated healthcare team to ensure optimal patient experiences.Key Responsibilities:Act as an integral member of the clinical team, contributing to the delivery of...
-
Healthcare Clinic Assistant
2 weeks ago
Decatur, Illinois, United States Huntsville Hospital Full timePosition Overview:The Healthcare Clinic Assistant plays a vital role in delivering exceptional patient care within a clinical environment. This position requires a dedicated individual who is committed to supporting both patients and healthcare providers.Key Responsibilities:Act as an integral member of the clinical team to ensure the delivery of...
-
Traveling Healthcare Professional
2 days ago
Decatur, Illinois, United States RTG Medical-Nursing Full timeJob DescriptionJob Title: Traveling Healthcare ProfessionalJob Type: Travel NursingSpecialty: Cardiac Cath LabEmployment Type: TravelShift: 8 hours, daysHours per Week: 40Duration: 13 weeksBenefits:Medical benefitsVision benefits401k retirement planDental benefitsLife insuranceEmployee assistance programsHoliday PayReferral bonusMileage reimbursementWeekly...
-
Comprehensive Healthcare Provider
4 days ago
Decatur, Illinois, United States Aptive Resources Full timeAbout the RoleAptive Resources is seeking a skilled Primary Care Registered Nurse to join our team. As a Primary Care Registered Nurse, you will play a pivotal role in providing comprehensive healthcare services to patients within a primary care setting.Key ResponsibilitiesPatient Assessment and Care: Conduct thorough initial patient assessments, including...
-
Traveling Healthcare Professional
2 days ago
Decatur, Illinois, United States RTG Medical-Nursing Full timeJob Title: Travel Nurse RN Med SurgJob Description:RTG Medical-Nursing is seeking a skilled travel nurse to join our team as a Med Surg nurse for a travel nursing assignment in a medical-surgical setting.Key Responsibilities:Provide high-quality patient care in a medical-surgical settingCollaborate with the healthcare team to develop and implement...