Nurse Case Manager II

SGS_JOB_1578

Nursing

Illinois

LCSW

or LCPC

Contract - 06 Months (Contract)

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. Requires an RN, LCSW, or LCPC with an unrestricted active license. Experience with case management and IL waiver services is preferred.

Job Responsibilities:

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

Skills:

RN, LCSW, or LCPC with current unrestricted state licensure in IL is required
The position will require travel to members' homes up to 50-75% travel. 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.

Education/Experience:

RN, LCSW, or LCPC with current unrestricted IL state licensure REQUIRED

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