Case Management Nurse

w3r Consulting; Chicago (IL); Remote; USD 80,000 - 100,000; Full time

Job summary

An innovative firm is seeking a dedicated Medical Management Specialist I to enhance patient care through effective outreach and assessments. In this pivotal role, you will review member cases, conduct home visits, and collaborate with healthcare professionals to ensure compliance and optimal care transitions. Your expertise in EMR systems and communication will be essential in educating members about their health needs. This position offers the flexibility of remote work while requiring some local travel, making it an exciting opportunity for those passionate about making a difference in healthcare.

Qualifications

• Ability to conduct home assessments and travel within the Chicago area.
• Strong skills in member outreach and education.

Responsibilities

• Review member cases and conduct outreach calls for assessments.
• Coordinate with healthcare providers and document interactions.

Skills

EMR systems

Assessment skills

Communication skills

Team collaboration

Tools

Microsoft Office Suite

Microsoft Teams

Zoom

Case management tools

Job description

This job description provides detailed information about the role, responsibilities, and requirements for a Medical Management Specialist I position. It is well-structured with appropriate use of HTML tags such as p, h3, ul, and li to enhance readability.

However, it includes some redundant or irrelevant sections, such as multiple job listings at the end, which could distract from the main posting. Additionally, some formatting improvements can be made to organize content more clearly, such as grouping similar information and removing repetitive headers.

Below is a refined version focusing solely on the primary job description, responsibilities, qualifications, and application instructions, with improved structure and clarity:

Medical Management Specialist I

Location: IL (remote, with home assessments within the area; minimum 10 visits per week)

Pay Range: $40.00/hr - $45.00/hr (actual pay based on skills and experience)

Type: Contract to Hire / Permanent

Responsibilities:

• Review new and existing member cases in EMR systems (Epic, Allscripts, Athenahealth, etc.)
• Plan outreach schedules, prioritizing high-risk or recently discharged members
• Conduct outreach calls, perform assessments, and educate members on medications, diagnoses, and upcoming appointments
• Travel to member homes, clinics, or facilities for in-person assessments and education
• Coordinate with healthcare providers, case managers, and social workers
• Document all interactions immediately in the EMR system, including progress notes and care plans
• Verify or coordinate treatment plans with providers or specialists
• Assist in transitions of care, ensuring discharge needs are met
• Participate in team meetings, training, or case reviews as needed
• Identify and connect members to community resources (housing, food, mental health)
• Ensure compliance through proper documentation and data entry for regulatory reports

Tools Used: EMR systems, Microsoft Office Suite, Microsoft Teams or Zoom, case management tools

Additional Requirements: Ability to travel within the Chicago area, conduct home assessments, and work collaboratively in a team environment.

Application Instructions:

• Send your updated resume to [e-mail]
• Feel free to call 925-326-2471 to discuss your career goals