Nurse Case Manager II

Duration: _____ Months/__06 Months__weeks.

Job Overview: Required RN, LCSW, or LCPC with current unrestricted state licensure in IL.

IL resident who lives in one of the counties listed below and is interested in doing field case management with the elderly and individuals with disabilities who are approved for in-home or nursing facility care. 

1. Chicago; zip codes: 60617, 60619, 60637, 60649
2. Cook; zip codes: 60618, 60622, 6024, 60639, 60644, 60647, 60651
3. Cook; zip codes: 60402, 60804, 60608, 60623, 60632

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 unrestricted active license. Experience with case management and IL waiver services is preferred.

• Using 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.

Experience:

Skills: Must Have

• 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.

Minimum Qualification:

• Required RN, LCSW, or LCPC with current unrestricted state licensure in IL.

Tags: Any specification as per JD which is most important.