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Job-Title: Nurse Case Manager;
Work Location: Harrisburg, Illinois 62946 United States;
Duration: 5 Months
Job Description:
MUST HAVE: IL resident who lives in one of the counties listed below and is interested in doing field case management with the elderly and individuals with disabilities who are approved for in-home or nursing facility care.
***On each resume, please clearly list which county/counties the candidate is applying for.
*** Candidate to cover: Pope/Hardin/Saline/Gallatin/Hamilton/White Counties
Position will require travel to members' homes up to 50-75% travel.
Must live near areas listed due to travel requirement and will work at home in between visits.
We want someone who is organized, efficient, and can work independently.
RN, LCSW, or LCPC with current unrestricted state licensure in IL.
Experience with case management and IL waiver services is preferred.
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
Position Summary:
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Requires unrestricted driver's license and car.
Requires RN, LCSW, or LCPC with unrestricted active license.
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 members 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.
Experience:
Minimum 3-5 years clinical practical experience preferred
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
Education: RN, LCSW, or LCPC with current unrestricted IL state licensure REQUIRED
Hours: M-F 8-5 CST
About IDEXCEL, INC
IDEXCEL is an IT services organization, with a mission to bring great people and great organizations together. Our diverse client base represents a wide range of industries, including technology, telecom, insurance, healthcare, manufacturing, banking & financial services, food & commodities trading and federal organizations. Our teams of experienced recruiters directly work with client companies seeking exceptional people to help with their business initiatives.
IDEXCEL, Inc. is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law.
