Responsibilities
Help elevate patient care through industry-leading support in serving dual eligible populations
Collaborate with members, providers, and community organizations to address health care and social determinant needs
Utilize a collaborative process of assessment, planning, facilitation, and care coordination
Act as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel
Implement and coordinate all case management activities relating to catastrophic cases and chronically ill members/clients
Communicate with members/clients and other stakeholders as appropriate
Prepare all required documentation of case work activities as appropriate
Consult with internal multidisciplinary team to help member/client maximize health outcomes
Provide educational and prevention information for best medical outcomes
Monitor member/client progress toward desired outcomes
Requirements
Candidate must reside within Cook County, Illinois (IL), or be willing and able to travel to Cook County, Illinois (IL)
Candidate must possess reliable transportation and be willing and able to travel up to 50% of the time in Cook County, IL
Candidate must have active and unrestricted Registered Nurse (RN) in Illinois
3+ years clinical practical experience as a Registered Nurse (RN)
2+ years’ experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
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
Hard Skills
Case Management
Care Coordination
Clinical Assessment
Documentation Preparation
Health Outcome Monitoring
Soft Skills
Effective Communication
Organizational Skills
Interpersonal Skills
Independent Thinking
Collaboration
Certifications & Qualifications
Active Registered Nurse (RN) License
#J-18808-Ljbffr