Nurse Case Manager II โ Illinois (Remote)
Location: Illinois
Overview:
Seeking an experienced Nurse Case Manager II to support members enrolled in Medicare and Medicaid. This 100% remote role focuses on improving health outcomes through comprehensive care management and collaboration with members, providers, and community organizations.
Responsibilities:
Conduct thorough assessments of membersโ health and social needs.
Develop and implement care plans using internal and external resources.
Apply regulatory guidelines and company policies to ensure accurate benefits administration.
Advocate for members to achieve optimal, cost-effective outcomes.
Collaborate effectively with remote teams using virtual tools.
Qualifications:
Required: RN, LCSW, or LCPC with active Illinois license.
3โ5 years clinical experience; 2โ3 years care management or discharge planning preferred.
Strong analytical, problem-solving, and communication skills.
Proficient in MS Office and navigating multiple systems.
Self-motivated, independent, and confident working remotely.
Schedule: MonโFri, 8 AM โ 5 PM CST