Local Contract Nurse RN - Clinic Case Management
-, IL
Apidel Technologies
5x8 hrs, Days
Referral Bonus

Position details:
Position- Nurse Case Manager/ LCSW
Location- Illinois (Hybrid)
Contract- 03 months contract (Higher possibilities of extension)
Shift- Mon-Fri 8am to 5pm CST

Note: Candidates can live anywhere in IL. This is a hybrid role; they will be mostly WFH with some member visits in the area they live as needed.
Telephonic (Hybrid) Case Managers: Caseloads range from 250 to 500 members, depending on member stratification levels and complexity of needs.
Field Based Case Managers: Caseloads typically range from 30 to 100 members, depending on market needs and complexity of member’s needs.

Position Summary
• The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
• Requires RN, LCSW, or LCPC with unrestricted active license in IL.

Duties
• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
• Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits.
• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Experience
• Minimum 3-5 years clinical practical experience required
• Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred
• 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
• Effective computer skills including navigating multiple systems and keyboarding
• Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications

Education
• RN, LCSW, or LCPC with current unrestricted IL state licensure REQUIRED
• Case Management Certification CCM preferred