Dupage Medical Group La Grange , IL 60525
Posted Yesterday
Overview
RN Case Manager
Full-Time, 40 hours per week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed
Location: La Grange, IL
Holistic benefits designed to help our team members flourish in all aspects of their lives, including:
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
The RN Case Manager
Responsibilities
Analyze data collected from the 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. In addition, complete all documentation, member communications, and case closures per policies and procedures.
Proficient in knowledge of current Case Management Standards
Coordinate Health Care Services with appropriate physicians and health care 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.
Perform additional duties/tasks as assigned.
Qualifications
LICENSURE/CERTIFICATION:
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).
EDUCATION:
EXPERIENCE:
2-4 years of experience working within the primary care or hospital setting as a Registered Nurse.
Previous experience working within case management preferred.
Dupage Medical Group