Nurse Case Manager II

ICONMA; Chicago (IL); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading Retail Pharmacy company in Chicago is seeking a Nurse Case Manager II to oversee assessments and case management. The role requires an RN, LCSW, or LCPC with solid clinical experience, focusing on delivering effective health care outcomes. Candidates will benefit from health benefits and opportunities for growth with a diverse and inclusive employer.

Benefits

Health Benefits

Referral Program

Opportunities for growth and advancement

Qualifications

• 3-5 years of clinical practical experience preferred.
• 2-3 years of care management or home health care coordination experience preferred.
• Experience with IL waiver services is preferred.

Responsibilities

• Conducts comprehensive assessments of referred members' needs.
• Utilizes case management and quality management processes.
• Promotes optimal, cost-effective outcomes through advocacy.

Skills

Analytical skills

Problem-solving skills

Organizational skills

Interpersonal skills

Communication skills

Education

RN, LCSW, or LCPC with unrestricted active license

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Southside of Chicago, IL/ Suburban Cook, IL (Chicago Heights, South Chicago Heights, Lynwood, Ford Heights, Sauk Village, Matteson Olympia Fields, Park Forest, Richton Park) 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.
• Conducts comprehensive assessments of referred members' needs/eligibility using clinical tools and information/data review, and determines approach to case resolution by evaluating member's benefit plan and available programs/services.
• Applies and interprets applicable criteria, guidelines, standardized case management plans, policies, procedures, and regulatory standards to assess benefits and member needs, ensuring proper administration of benefits.
• Utilizes case management and quality management processes in compliance with regulatory and accreditation standards, company policies, and procedures.

Requirements:

• RN, LCSW, or LCPC with an unrestricted active license is required.
• Experience with case management and IL waiver services is preferred.
• Minimum 3-5 years of clinical practical experience preferred.
• Minimum 2-3 years of care management, discharge planning, or home health care coordination experience preferred.
• Ability to work independently in a remote setting, using tools to collaborate and connect virtually.
• Excellent analytical, problem-solving, organizational, and interpersonal skills.
• Effective communication skills and proficiency in navigating multiple systems and software, including MS Word, Excel, Outlook, PowerPoint, and proprietary applications.

Why Should You Apply?

• Health Benefits
• Referral Program
• Opportunities for growth and advancement

As an equal opportunity employer, ICONMA supports and encourages diversity and inclusion in the workplace, respecting all characteristics protected by law.