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Posted: Wednesday, November 8, 2017 4:57 PM

We are hiring for an RN Case Manager (Field base) with an elite managed care organization. This is an exciting opportunity for you to focus on member needs by assessing, monitoring and optimizing patient health across the continuum of care.

The RN Case Manager will manage and track all members who require a comprehensive approach to immediate and ongoing care of their complicated and/or catastrophic illnesses with duties such as care plans, progress notes, assessments, correspondence, referrals, authorizations and more:

  • Visit members in the home to complete an assessment, develop a care/service plan that meets member needs and provide periodic follow up.
  • Verifying eligibility for waiver services
  • Documenting findings in the Care Management System
  • Meets or exceeds timelines associated with case activities.
  • Provides succinct presentation of member at ICT and solidifies plan of care with ICT.
  • Completes a member assessment according to policy and procedure.
  • Develops and implements a member centered care plan that recognizes the patient's risk level, priorities, member preferences and medical needs based upon screening and assessment results.
  • Creates a service plan that reflects the needs identified during DON screening and is consistent with DOA policy.
  • Communicates effectively with Medical Home team members and care providers to support coordinated, integrated care.
  • Schedule visits with member upon member request, a change in condition, new information or as mandated by the waiver
  • Provides information to support all service authorizations; including entering service plans in HFS systems.
  • refers patients to community based resources in order to maintain levels of wellness in the members community environment
  • Files and makes necessary follow-up on mandated reporting(prevention and notification of Abuse, Neglect, and Exploitation)

Minimum Qualifications:

  • Registered Nurse in the state of IL
  • Case Management experience
  • Home Health background
  • Superior critical thinking & problem solving skills



Associated topics: cardiothoracic, coronary, domiciliary, intensive care unit, maternal, neonatal, nurse, registered nurse, surgery, transitional

Source: http://www.jobs2careers.com/click.php?id=4491382244.96


• Location: Chicago

• Post ID: 82387352 chicago
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