Reimbursement Case Manager Jobs in Burr Ridge, IL

Description

Nurse Case Manager

Schedule: Monday - Friday 8:30am - 5:15pm 

Under the general guidance of the Director of Care Management, the Nurse Case Manager will provide direct patient care through implementation of individual patient care plans developed in collaboration with the patient's primary care provider. This individual will work directly with the provider for continuity of care to fulfill the individual patient care plan. The Nurse Case Manager will promote self-care management and assist with access to care. Functions through direct face to face patient contact, telephone follow-up and education based on care management guidelines in a sensitive and confidential manner. Maintains satisfactory relations interdepartmentally and participates in phases of center wide health education. 

Responsibilities:

The Nurse Case Manager role involves the use of critical thinking skills and clinical expertise to provide ongoing case and care management to an assigned panel of patients. This will include:

• Managing the ongoing care management for an assigned population case load (Population Health Management),
• Performing Comprehensive Risk Assessments and developing individualized Patient Care Plans for all assigned cases, 
• Managing and coordinating patient access to care, including overseeing the efforts of collaborating Care Coordinators, Referral staff and others, 
• Addressing all relevant Transitions of Care management when patients obtain hospital-based care, and
• Collaborative participation in the Patient Care Teams.
• Population Health Management
• Development & Management of Patient Care Plans includes management and coordination of care 
• Transitions of Care and Self Management 

Qualifications:

• Associate degree in Nursing from an accredited college or university is minimally required. Bachelor's degree in Nursing from an accredited college or university is required to facilitate complex disease care management and advanced patient needs.
• Licensed Practical Nurse (LPN) or Registered Nurse (R.N.) with a valid license in the state of Illinois 
• Current CPR Certification 
• A minimum of two (2) - three (3) years' experience as a qualified Case Manager preferred. 
• Significant demonstrable experience of working in a community-based environment. 
• Significant demonstrable experience of working with highly complex packages of care in a health and/or social care environment. 
• Bilingual ability preferred; may or may not be required based on individual department needs.

If you are a dedicated and compassionate Clinical Nurse with a passion for providing high-quality patient care services, we encourage you to apply for this exciting opportunity. At Chicago Family Health, we are committed to providing our staff with a supportive and collaborative work environment, competitive salary packages, and excellent benefits. Apply today and join our team!

Chicago Family Health Centers offers benefits to all its full-time employees:

BCBS Medical PPO/HMO Plans| BCBS Dental |VSP Vision| Tuition Reimbursement up to $1,500 per year|11 Paid Holidays and 10 Days of Paid Time Off | 8 sick days | 3 personal days

Chicago Family Health Center is an affirmative action/equal opportunity employer who is committed to cultivating diversity, equity and inclusion within all aspects of our organizations. We stand against and prohibit discrimination in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Requirements

• Associate degree in Nursing from an accredited college or university is minimally required. Bachelor's degree in Nursing from an accredited college or university is required to facilitate complex disease care management and advanced patient needs.
• Licensed Practical Nurse (LPN) or Registered Nurse (R.N.) with a valid license in the state of Illinois 
• Current CPR Certification 
• A minimum of two (2) - three (3) years' experience as a qualified Case Manager preferred. 
• Significant demonstrable experience of working in a community-based environment. 
• Significant demonstrable experience of working with highly complex packages of care in a health and/or social care environment. 
• Bilingual ability preferred; may or may not be required based on individual department needs.