Field Nurse Case Manager II/ LCSW/LCPC

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. Our Client, a Retail Pharmacy company, is looking for a Field Nurse Case Manager II/ LCSW/LCPC for their Fulton County, DuPage County, Kane County, Cook County, West Suburban Cook County, IL location.

Our Client, a Retail Pharmacy company, is looking for a Field Nurse Case Manager II/ LCSW/LCPC for their Fulton County, DuPage County, Kane County, Cook County, West Suburban Cook County, IL 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.
• 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

 
Requirements:

• Experience with case management.
• Verifyable High School Diploma or GED Required
• 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
• Healthcare and/or managed care industry experience.
• Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
• Effective communication skills, both verbal and written.
• Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
• Sedentary work involving periods of sitting, talking, listening.
• Work requires sitting for extended periods, talking on the telephone and typing on the computer.
• Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
• RN, LCSW, or LCPC with current unrestricted state licensure in IL. REQUIRED

 
Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities