Care Manager I (RN)-COOK CTY.
Company: Illinois Health Plan
Location: Apple River
Posted on: January 27, 2023
You could be the one who changes everything for our 26 million
members as a clinical professional on our Medical Management/Health
Services team. Centene is a diversified, national organization
offering competitive benefits including a fresh perspective on
THIS POSITION IS REMOTE/WORK FROM HOME WITH UP TO 50% TRAVEL IN THE
COOK COUNTY, IL AREA; MILEAGE REIMBURSED AT CURRENT IRS GUIDELINE
IDEAL CANDIDATE WILL HOLD A BSN IL LICENSURE.
Position Purpose: Perform care management duties to assess, plan
and coordinate all aspects of medical and supporting services
across the continuum of care for select members to promote quality,
cost effective care
Develop, assess and adjust, as necessary, the care plan and promote
Assess the member's current health status, resource utilization,
past and present treatment plan and services, prognosis, short and
long term goals, treatment and provider options
Coordinate services between Primary Care Physician (PCP),
specialists, medical providers, and non-medical staff as necessary
to meet the complete medical socio economic needs of clients
Develop plan of care based upon assessment with specific
objectives, goals and interventions designed to meet member's
Provide patient and provider education
Facilitate member access to community based services
Monitor referrals made to community based organizations, medical
care and other services to support the members' overall care
Actively participate in integrated team care management rounds
Identify related risk management quality concerns and report these
scenarios to the appropriate resources
Enter and maintain assessments, authorizations, and pertinent
clinical information into various medical management systems
50% travel to perform home visits to members.
Education/Experience: Graduate from an Accredited School of
Nursing. Bachelor's degree in Nursing preferred. 2+ years of
clinical nursing experience in a clinical, acute care, or community
setting. Knowledge of healthcare and managed care preferred.
Licenses/Certifications: Current state's RN license.
Valid driver's license and proof of car insurance.
For Illinois Youth Care contract: Required Education/Experience -
Bachelor's Degree in nursing and RN licensure required. One year of
clinical experience required.
Our Comprehensive Benefits Package: Flexible work solutions
including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.
Centene is an equal opportunity employer that is committed to
diversity, and values the ways in which we are different. All
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, veteran status, or
other characteristic protected by applicable law.
Keywords: Illinois Health Plan, Rockford , Care Manager I (RN)-COOK CTY., Healthcare , Apple River, Illinois
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