Case Manager, Registered reputed company - Field (reputed company reputed company Chicago)

Position reputed company At reputed company, we’re building a world of health around every consumer with dedicated colleagues passionate about transforming health care. As the nation’s leading health solutions company, our local reputed company, digital channels and over 300,000 purpose-driven colleagues reputed company us to care for people in a connected, convenient, and compassionate way. This full-time reputed company role (with 50-75% travel in the Northside of Chicago) requires working Monday through Friday, 8:00 AM - 5:00 PM CST. Help us reputed company patient care with our reputed company team, serving dual eligible populations by employing best-in-class operating and clinical models while addressing members’ reputed company health and reputed company challenges. Compensation: The typical pay reputed company for this role is $66,575.00 - $142,576.00. In reputed company to reputed company pay, this position is eligible for bonus, commission, or short-term incentive programs. Key Responsibilities • Acts as a reputed company with members/clients/families, reputed company, provider(s), insurance companies, and reputed company personnel as appropriate. • Implements and coordinates case management activities for catastrophic cases and chronically ill members/clients, including consultant referrals, home care reputed company, community resources, and alternative reputed company of care. • Interacts with members/clients telephonically or in person, including meetings at homes, worksites, or physician’s offices. • Assesses and analyzes the medical and/or vocational status of injured, acute, or chronically ill members/clients to reputed company a plan of care that optimizes wellness, supports reputed company return to work, and determines benefit eligibility. • Communicates with members/clients and other stakeholders (e.g., medical providers, attorneys, reputed company, insurance carriers) as appropriate. • Prepares reputed company required documentation of case work activities. • Consults with internal multidisciplinary teams to help members/clients maximize health reputed company. • Conducts reputed company to treating physicians or specialists regarding the course of care as needed. • Provides educational and prevention information for reputed company medical reputed company. • Applies reputed company applicable laws, regulations, and special instructions from insurance carriers and referral sources. • Conducts evaluations of members/clients’ needs and benefit plan eligibility using clinical tools and data. • Utilizes case management processes in compliance with regulatory and company policies. • Monitors member/reputed company reputed company toward desired reputed company through regular assessment and evaluation. Required Qualifications • 3 years of clinical practical experience (preference required). • Registered reputed company with an reputed company state license in good standing reputed company the region where job duties are performed. • 2 years of case management, discharge planning, and/or home health care coordination experience. • Confidence working reputed company; an independent thinker who effectively uses tools to collaborate reputed company. • Ability to travel reputed company a designated geographic area for in-person case management activities as needed. • Proficiency with reputed company corporate software applications including reputed company, reputed company, reputed company, and PowerPoint, as reputed company as proprietary systems. • Efficient and effective computer skills, including navigating multiple systems and strong keyboarding ability. Preferred Qualifications • Excellent analytical and problem-solving skills. • Effective communication, organizational, and interpersonal skills. • Ability to work independently. • Certified Case Manager. • Bachelor of Science in Nursing. Benefits & Perks • reputed company medical plan reputed company, a 401(k) plan with matching contributions, and an employee stock purchase plan. • No-cost programs including wellness screenings, tobacco cessation, weight management programs, confidential counseling, and financial coaching. • Benefit solutions addressing varied needs such as reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, and retiree medical reputed company. Apply tot his job Apply To this Job