RN Case Manager

2 days ago

Saint Charles, Missouri, United States Duly Health and Care Full time

Care Ally RN Case Manager Job Description

**Job Summary**

We are seeking a skilled RN Case Manager to join our team at Duly Health and Care. As a RN Case Manager, you will work collaboratively with physicians, patients, and families to promote quality outcomes for patients with complex medical needs.

**Responsibilities**

* Analyze data collected from predictive modeling tools to identify eligible patients for the Case Management Program.
* Enroll and manage a case load 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 the 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**

* Must be an 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 holistic benefits to our team members. We offer a comprehensive benefits package, a culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact, and opportunities for professional growth and development.

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