RN Case Manager
3 weeks ago
Care Ally RN Hinsdale Job Description
**Job Summary**
We are seeking a skilled Registered Nurse to join our team as a Case Manager in Hinsdale, IL. As a Case Manager, you will work collaboratively with physicians, patients, and families to promote quality outcomes for patients with complex medical needs.
**Responsibilities**
* Analyze data from predictive modeling tools to identify eligible patients for the Case Management Program
* Enroll and manage a caseload of patients with complex medical needs, completing case management attestations and initial assessments in accordance with health plan requirements
* Develop individualized case management plans with prioritized goals and appropriate interventions in compliance with risk stratification level requirements
* Coordinate healthcare services with appropriate physicians and healthcare providers
* Manage and provide a comprehensive summary and log of all active Case Management Cases as required by the UM/QA Committee and/or Health Plan
* Act as a resource for Utilization Management Staff, physicians, office staff, and patients
* Assist with the evaluation and amendment of Case Management Policy and Procedures
* Attend continuing education sessions and training relating to your job functions as required
**Requirements**
* Active Registered Nurse License in the State of Illinois in good standing
* Certification in Case Management, preferred
* Current CPR certification must be maintained (BLS)
* Associate's degree in nursing required; Bachelor's degree in nursing preferred
* 2-4 years of experience working within the primary care or hospital setting as a Registered Nurse
* Previous experience working within case management preferred
**What We Offer**
* Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider
* $5,250 Tuition Reimbursement per year
* 40 hours paid volunteer time off
* A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact
* 12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members
* 401(k) Match
* Profit-sharing program
**About Us**
Duly Health and Care is a healthcare organization dedicated to providing high-quality care to our patients. We are committed to creating a culture that values diversity, equity, and inclusion, and we strive to make a positive impact in our community.
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