Integrated Resources, Inc ( IRI )
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Nurse Case Manager II
role at
Integrated Resources, Inc (IRI) .
RN, LCSW, or LCPC with current unrestricted state licensure in IL is required. A valid driver’s license is also required.
Position Summary The Case Manager utilizes a collaborative process of assessment, planning, facilitation, and advocacy to meet an individual’s benefit plan and/or health needs, promoting optimal, cost‑effective outcomes.
Key Responsibilities
Conduct comprehensive assessments of referred members’ needs and eligibility using clinical tools and data review; determine approach to case resolution.
Apply and interpret applicable criteria, guidelines, and standardized case management plans, ensuring appropriate administration of benefits.
Utilize case‑management and quality‑management processes in compliance with regulatory and accreditation guidelines and company policies.
Collaborate with members, providers, and community organizations to address health care and social determinant needs.
Experience & Qualifications
Minimum 3‑5 years of clinical practical experience.
Minimum 2‑3 years of care management, discharge planning, and/or home health care coordination experience preferred.
Confidence working independently, using virtual collaboration tools.
Excellent analytical, problem‑solving, communication, organizational, and interpersonal skills.
Computer proficiency with MS Office and other proprietary applications.
Education & Licensure RN, LCSW, or LCPC with current unrestricted IL state licensure required.
Seniority Level
Mid‑Senior level
Employment Type
Full‑time
Job Function
Other
Industries
IT Services and IT Consulting
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Nurse Case Manager II
role at
Integrated Resources, Inc (IRI) .
RN, LCSW, or LCPC with current unrestricted state licensure in IL is required. A valid driver’s license is also required.
Position Summary The Case Manager utilizes a collaborative process of assessment, planning, facilitation, and advocacy to meet an individual’s benefit plan and/or health needs, promoting optimal, cost‑effective outcomes.
Key Responsibilities
Conduct comprehensive assessments of referred members’ needs and eligibility using clinical tools and data review; determine approach to case resolution.
Apply and interpret applicable criteria, guidelines, and standardized case management plans, ensuring appropriate administration of benefits.
Utilize case‑management and quality‑management processes in compliance with regulatory and accreditation guidelines and company policies.
Collaborate with members, providers, and community organizations to address health care and social determinant needs.
Experience & Qualifications
Minimum 3‑5 years of clinical practical experience.
Minimum 2‑3 years of care management, discharge planning, and/or home health care coordination experience preferred.
Confidence working independently, using virtual collaboration tools.
Excellent analytical, problem‑solving, communication, organizational, and interpersonal skills.
Computer proficiency with MS Office and other proprietary applications.
Education & Licensure RN, LCSW, or LCPC with current unrestricted IL state licensure required.
Seniority Level
Mid‑Senior level
Employment Type
Full‑time
Job Function
Other
Industries
IT Services and IT Consulting
#J-18808-Ljbffr