Care Manager, RN

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Develop, assess, and facilitate intricate care management activities primarily for members with physical needs.

• Evaluate the needs of members, obstacles to care, and social determinants affecting health.

• Create ongoing care plans and collaborate with providers, specialists, and community resources.

• Identify obstacles to care and implement suitable care management interventions.

• Coordinate communication between members, families/caregivers, and care provider teams.

• Follow up and monitor member status, changes in their condition, and progress toward care plan objectives.

• Offer resource support for services including employment, housing, participant direction, independent living, justice, and foster care.

• Facilitate care management to ensure timely access to necessary care and services.

• Conduct outreach via telephonic, digital, home, and/or other locations.

• Collect, document, and maintain member information and care management activities to ensure regulatory compliance.

• Provide or facilitate education regarding disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits.

• Offer leadership feedback on opportunities for enhancing care quality and cost-effectiveness.

• Perform additional duties as assigned and adhere to all policies and standards.

⛳️ Requirements

• A degree from an accredited nursing school or a Bachelor's degree in Nursing is required.

• 2–4 years of relevant experience is necessary.

• An active, current, unrestricted Illinois RN license is mandatory.

• RN - Registered Nurse - State Licensure and/or Compact State Licensure is required.

• Must be able to work Monday to Friday, from 8am to 5pm Central Time Zone.

• Experience in care/case management is preferred by the hiring leader.

• High-risk maternity experience is also preferred by the hiring leader.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional incentives may be included in the overall compensation package.