Role overview

Qualifications

Experience with case management and IL waiver services is preferred
Verifiable High School Diploma or GED Required
Minimum 3-5 years clinical practical experience required
Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred

Responsibilities

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
Conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution
Application and/or interpretation of applicable criteria and guidelines while assessing benefits and/or member's needs
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines

Key facts

Remote from: Illinois (USA)
Full time
Mid-level (2-5 years)
Nurse Practitioner
English

Hard skills

Care Management Discharge Planning Care Coordination

Other skills

Communication
Organizational Skills
Social Skills
Analytical Skills
Problem Solving
Computer Literacy

About the company

ICONMA

Human Resources, Staffing & Recruiting

We provide Professional Staffing Services & Project-Based Solutions for a broad range of Fortune 500 organizations. ICONMA is a certified Woman-Owned staffing company and was founded in 2000. ICONMA’s corporate headquarters is in Troy, Michigan, and has 15+ locations worldwide. What makes ICONMA stand out in a fiercely competitive industry? *We provide integrated, full lifecycle services across a broad range of business and technical platforms. *No single company can duplicate our full range of staffing and permanent recruiting services nationwide. *Proven track record of attracting and retaining exceedingly skilled professional workers in a highly competitive market. SERVICES OFFERED Staff Augmentation (Contract, Contract to Hire, Direct Hire, Single Source) Data Analysis Project-Based Services & Solutions Hire Train Deploy Service Model Offshore Staff Augmentation Payroll Services AREAS OF EXPERTISE - Information Technology - Engineering - Business Professional - Accounting/Finance - Admin/Clerical/Call Center - Healthcare/Clinical/Scientific - Marketing/Creative mail linkedin@iconma.com Phone (888) 451-2519 Website http://www.iconma.com

Company details

Company typeLarge

IndustryHuman Resources, Staffing & Recruiting

Company size1001 - 5000

Links

Website LinkedIn See all jobs

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Job description

Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Remote/IL location.

Responsibilities:

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.
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

Requirements:

Experience with case management and IL waiver services is preferred.
Verifiable High School Diploma or GED Required
Minimum 3-5 years clinical practical experience required
Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred
Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills
Ability to work independently
Effective computer skills including navigating multiple systems and keyboarding
Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications
Case Management Certification CCM preferred

Why Should You Apply?

Health Benefits
Referral Program
Excellent growth and advancement opportunities