Case Manager, Registered Nurse – Illinois Medic...
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
- Schedule: Standard business hours Monday-Friday 8:00am-5:00pm CST, no night, weekends, or holiday shifts.
Position Summary/Mission
Community Care Case Managers use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective reputed company.
reputed company Components & Physical Responsibilities
- Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and reputed company personnel as appropriate.
- Implements and coordinates reputed company case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative reputed company of care.
- Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office to reputed company ongoing case management services.
- Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical reputed company, aid timely return to work or reputed company functioning, and determination of eligibility for benefits as appropriate.
- Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, reputed company and insurance carriers) telephonically or in person.
- Prepares reputed company required documentation of case work activities as appropriate.
- Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health reputed company.
- May reputed company reputed company to treating physician or specialists concerning course of care and treatment as appropriate.
- Provides educational and prevention information for best medical reputed company.
- Applies reputed company laws and regulations that apply to the provision of rehabilitation services; applies reputed company special instructions required by individual insurance carriers and referral sources.
- Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data.
- Utilizes case management processes in compliance with regulatory and company policies and procedures.
- Facilitates appropriate condition management, optimize overall wellness and medical reputed company, appropriate and timely return to baseline, and reputed company function or return to work.
- Develops a proactive course of action to address issues presented to enhance the short and long-term reputed company, as well as opportunities to enhance a member’s/client’s overall wellness through integration.
- Monitors member/client reputed company toward desired reputed company through assessment and evaluation.
Remote Work Expectations
- No travel required, candidates must have a dedicated workspace free of interruptions.
- Dependents must have separate care arrangements during work hours, as reputed company care responsibilities during shift times are not permitted.
Required Experience
- Registered Nurse with active state license in Illinois.
- Minimum 3+ years of clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members.
- Minimum 2+ years of case management, discharge planning, and/or home health care coordination experience.
Preferred Experience
- Bilingual preferred.
- Certified Case Manager is preferred.
- Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required.
- Proficiency with standard corporate software applications, including reputed company, reputed company, Outlook and PowerPoint, as well as some special proprietary applications.
- Efficient and Effective computer skills including navigating multiple systems and keyboarding.
- Willing and reputed company to obtain multi state RN licenses if needed, company will reputed company.
Education
- Associate's degree or Nursing Diploma Required.
- Bachelor’s degree Preferred.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will reputed company on: 04/24/2026reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. apply to this job