- member assessment & care planning
- conduct comprehensive evaluations of members’ health needs using care management tools and data analysis
- identify risk factors and service needs affecting outcomes
- develop, coordinate, and implement individualized care plans
- connect members with internal resources and community-based services
- care coordination & advocacy: collaborate with interdisciplinary teams, including Medical Directors and care managers
- facilitate case conferences to ensure optimal care outcomes
- advocate for appropriate services and remove barriers to care
- use motivational interviewing techniques to drive member engagement and behavior change
- quality & outcomes improvement: monitor care plans and adjust as needed
- identify and elevate quality-of-care concerns
- empower members to actively participate in healthcare decisions
- support members in achieving long-term health and lifestyle goals
- compliance & documentation
Requirements - Active Registered Nurse (RN) license in Illinois
- Must live on the west side of Chicago or surrounding areas in Illinois
- Valid Illinois driver’s license and reliable transportation (mileage reimbursed)
- Willingness to travel up to 75% locally for in-person member visits
- Minimum 2 years of case management experience
- Proficiency with Microsoft Office and electronic health records
- Experience working with diverse and underserved populations, including:
- Racial and ethnic minority communities
- Individuals experiencing domestic abuse
- LGBTQ+ individuals
- Persons living with HIV/AIDS (required for this position)
- Individuals with substance use disorders
#J-18808-Ljbffr