Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Fundamental Components - Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. - Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits. - Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. - Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality. - Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. - Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences - Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Remote Work Expectations. This is a remote role; candidates must have a dedicated workspace free of interruptions. Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted. Required Qualifications - Active and unrestricted RN licensure in IL - Minimum 3 years clinical practical experience - Minimum 2 years Care Management, discharge planning and/or home health care coordination experience - Must possess reliable transportation and be willing and able to travel up to 25% of the time. Mileage is reimbursed per our company expense reimbursement policy - 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. Preferred Qualifications - Certified Case Manager . - Experience working at home/independent thinker, using tools to collaborate and connect with teams virtually - Illinois residency. Education - Associates degree or Nursing Diploma required - Bachelors degree preferred. Anticipated Weekly Hours 40 Time Type. Full time. Pay Range. The typical pay range for this role is:$66,575.00 - $142,576.00