Nurse Case Manager II
ICONMA
- Winnebago, Illinois, United States
- Winnebago, Illinois, United States
Über
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Requirements:
Experience with case management. Must live near areas listed due to travel requirement and will work at home in between visits. We want someone who is organized, efficient, and can work independently. Verifyable High School Diploma or GED Required Minimum 3-5 years clinical practical experience preferred Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred 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. Ability to work independently Effective computer skills including navigating multiple systems and keyboarding Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications Requires an LCSW or LCPC or RN with unrestricted IL active license. Experience with case management. Case Management Certification CCM preferred
Why Should You Apply?
Health Benefits Referral Program Excellent growth and advancement opportunities
Sprachkenntnisse
- English
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