IL
Nurse Case Manager II
ICONMA, LLC
- 🇺🇸 United States
- Remote
- Manager or above
- 14 hours ago
- $15.00 – $33.30 / hour
- Excel
- Outlook
- OneNote
14 hours ago
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Responsibilities:
- 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care.
- Compiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member’s identified needs.
- Provides evidence-based disease management education and support to help the member achieve health goals.
- Ensure the appropriate members of the interdisciplinary care team are involved in the member’s care.
- Provides care coordination to support a seamless health care experience for the member.
- Meticulous documentation of care management activity in the member’s electronic health record.
- Collaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition.
- Identifies and connects members with health plan benefits and community resources.
- Meets regulatory requirements within specified timelines.
- The Care Manager RN supports other members of the Care Team through clinical decision making and guidance as needed.
- Additional responsibilities as assigned by leadership to support team objectives, enhance operational efficiency, and ensure the delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members.
- Essential Competencies and Functions:
- Ability to meet performance and productivity metrics, including call volume, successful member engagement, and state/federal regulatory requirements of this role.
- Conduct oneself with integrity, professionalism, and self-direction.
- Experience or a willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care.
- Familiarity with community resources and services.
- Ability to navigate and utilize various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records.
- Maintain strong collaborative and professional relationships with members and colleagues.
- Communicate effectively, both verbally and in writing.
- Excellent customer service and engagement skills.
- Work Expectations
- Access to a private, dedicated space to conduct work effectively to meet the requirements of the position
- Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
Requirements:
- Candidate must have active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence
- Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the Care Manager – Registered Nurse (CM RN) role
- Access to a private, dedicated space to conduct work effectively to meet the requirements of the position
- Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
- Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually
- 3+ years of nursing experience
- 2+ years of case management, discharge planning and/or home healthcare coordination experience
- Preferred Qualifications:
- Experience providing care management for Medicare and/or Medicaid members
- Experience working with individuals with needs, chronic medical conditions, and/or behavioral health
- Experience conducting health-related assessments and facilitating the care planning process
- Bilingual skills, especially English-Spanish
- Education:
- Add the minimum level of required completed education and certifications required
- Associate’s of Science in Nursing (ASN) degree and relevant experience in a health care-related field (required)
- Bachelor’s of Science in Nursing (BSN) (preferred)
- Verifyable High School Diploma or GED Required: Yes
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Nurse Case Manager II · ICONMA, LLC