Careers Integrated Resources Inc
Job Title: Nurse Case Manager II
Location: Remote + Field Visit (Cook, Lake, Will, Kane, Winnebago, Rock Island County- IL)
Duration: 3+ months (possible extension)
Schedule: 40hr/ per week and 5 days week. Pay Rate: $39.32 hr. on w2.
Job Summary: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Duties: Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits. Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Required Education and Licensure: Registered Nurse or LCPC or LCSW with active state license in good standing within the region where job duties are performed is required. Certified Case Manager is preferred.
Schedule: 40hr/ per week and 5 days week. Pay Rate: $39.32 hr. on w2.
Job Summary: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Duties: Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits. Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Required Education and Licensure: Registered Nurse or LCPC or LCSW with active state license in good standing within the region where job duties are performed is required. Certified Case Manager is preferred.