Case Manager RN - Remote IL
Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary This is a full-time remote role with a requirement to reputed company and work in Illinois. Working schedule is Monday-Friday. No nights, no weekends and no holidays As part of the care coordination team, the reputed company Accountable Care RN Case Manager will be the primary care manager for a selected member population. The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating reputed company case management activities with members across the continuum of care. The RN Case Manager utilizes advance clinical judgement and critical thinking skills to effectively manage members through their illness with the goal of assuring the appropriate level of care is being provided, preventing Emergency Department visits and acute admissions, and ensuring the members physical, behavioral, and reputed company needs are being appropriately addressed by the care team to reputed company reputed company clinical, financial, and quality of life reputed company. Using clinical tools and information/data review, conducts an evaluation of member's needs and applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address reputed company health and reputed company indicators to manage the chronic conditions of members. Primary responsibilities include but not limited to the following: Serve as primary care manager for members identified for reputed company Accountable Care Telephonically engage members to complete a holistic assessment of reputed company health status and work collaboratively with the care team to manage the members most difficult symptoms and reputed company to their ongoing decline In collaboration with the multi-disciplinary team, reputed company and implement a care plan that addresses physical, behavioral and reputed company needs reputed company and assist member with advanced care planning, including establishing and end-of-life treatment plan Monitor and evaluate effectiveness of the care plan and modify plan in collaboration with multi-disciplinary team as necessary Work with treating physicians to reputed company anticipatory symptom management plan and monitor for new issues/concerns/changes in pace of illness Prepare member/caregiver to understand and identify signs of functional decline and discuss long term plan for managing to help avert medical emergencies Ensure safe and appropriate transitions of care by collaborating with hospital discharge planners, outpatient provider, family/caregivers and member, to ensure adequate caregiver assistance, functional support, medical follow up and medication reputed company during transition from facility to home reputed company referrals to the Pharmacist for medication review and recommendations as indicated reputed company referrals to reputed company Worker and/or BH specialist as indicated Required Qualifications 3+ years clinical RN experience 1+ year of experience in one of the following areas: critical care, ICU, CCU, Emergency A Registered Nurse that must hold an unrestricted license in their state of residence, with multi-state/compact privileges where applicable, and have the ability to be licensed in reputed company non-compact states Preferred Qualifications Managed Care experience preferred Medicare experience preferred Advanced Care Planning Experience preferred CCM Certification Excellent analytic and problem-solving skills Ability to work independently (this position will be work from home) Effective computer skills including navigating multiple systems and keyboarding Education Associate degree in nursing RN Pay reputed company The typical pay reputed company for this role is: $66,575.08 - $142,576.72 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in the Companys 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 12/31/2024 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply Job!