Local Contract Nurse RN - Clinic Case Manager, Utilization Review
Downers Grove, IL
Apidel Technologies
5x8 hrs, Days
Referral Bonus

***This is a Local Contract job in Downers Grove, IL ***** No Travel worker will be considered.

Job Description
Position: Nurse Case Manager
Location: Downers Grove, IL (Remote/Hybrid)
Duration: 06+ Months (with possibilities of extension)
Shift: Mon - Fri 8:30-5:00pm 3 days and 12:30-9pm 2 days CST

Note:
• Must reside in the state of IL
• Valid and unrestricted IL RN License
• Hybrid role - mostly telephonic (90%) and may need to do member visits if the member requests it and they are no more than an hour way. Office visits to required once a quarter. The office is located 3200 Highland, Downers Grove, IL. If the CW is move than 2 hours away they can do the meeting via TEAMS.

Position Summary
• The Care Manager RN is responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating).
• The CM RN utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical and behavioral healthcare through assessment and care planning, direct provider coordination / collaboration, and coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes

Duties
• Responsible for telephonic and/or face to face assessment, planning, implementing and coordinating care management activities with members to ensure that their medical and behavioral health needs are met and to enhance the member’s overall wellness.
• Through the use of clinical tools and information/data review, conducts comprehensive assessments of member’s needs and recommends an approach to case resolution by meeting needs in alignment with their benefit plan and available internal and external programs and services.

Experience
• 3-5 years clinical practice experience, e.g. hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
• 2+ years’ experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
• Case management in an integrated model preferred
• Managed care experience preferred
• Discharge planning experience preferred
• Experience providing care to the Medicaid population preferred

• Spanish Speaking Preferred

Education
• Unrestricted RN in IL
• Minimum Associates or diploma nursing degree required
• Case Management Certification CCM preferred