Clinical Care Manager, Registered Nurse, Field

Job Description: • Help elevate patient care to a new level • Collaborate with members, providers, and community organizations to address members’ health care and social determinant needs • Facilitate the delivery of appropriate benefits and healthcare information • Develop, implement, and support Health Strategies, tactics, policies, and programs • Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel • Implements and coordinates case management activities relating to catastrophic cases and chronically ill members/clients • Interacts with members/clients telephonically or in person • Develops a plan of care to facilitate the member/client’s appropriate condition management • Communicates with member/client and stakeholders as appropriate • Prepares documentation of case work activities as appropriate • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status • Provides educational and prevention information for best medical outcomes • Utilizes case management processes in compliance with regulatory and company policies and procedures. Requirements: • Candidate must have active and unrestricted Registered Nurse (RN) License in Illinois • Ability to travel within a designated geographic area up to 50-75% of the time in 60610, 60642, 60622, 60647 and surrounding zip codes for in-person case management activities as directed by leadership and/or as business needs arise • 3-5 years clinical practical experience • 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 • Proficiency with standard corporate software applications, including Microsoft Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications. • Efficient and effective computer skills including navigating multiple systems and keyboarding Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access and many other benefits depending on eligibility.