Case Management Coordinator II

Job ID: AK-1018484 Description:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "my account" and click on "View your job submissions".

BASIC FUNCTION:

This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs that provide medically necessary potentially cost effective services; consulting with physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implementation, coordinate, monitor, and evaluate options and services required to meet an individuals health needs, using communication and available resources to promote quality, cost effective outcomes; serving as liaison to physicians, and members; serving as preceptor for less experienced staff.

JOB REQUIREMENTS:

  • Register Nurse (RN) with current, valid, unrestricted license in state of operations or reciprocity.
  • 2 years of clinical experience of direct clinical care to the consumer.
  • 1 year experience in health insurance/managed care.
  • Customer Service oriented.
  • PC proficiency to include Word, Excel, Lotus Notes and database experience.
  • Clear and concise verbal and written communication skills.
  • Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.

PREFERRED JOB REQUIREMENTS:

  • 3 years clinical experience.
  • Experience in Disease Management.
  • Experience in managing complex or catastrophic cases.
  • Working toward CM certification or Advanced degree.
  • Knowledge of medical management policies and procedures.
  • Bilingual in Spanish/English or Polish/English.

LI-POST

  • CI
  • CB

Requirements: Expertise Nursing Job Type Full-Time Regular Location IL - Chicago


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