Remote RN Case Manager

As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both satisfaction and cost effectiveness, and assist in navigating the health care system as a collaborative health partner in their health care team. As an RN Case Manager, the RN will work closely with client and members alike to promote wellness, problem-solve, and assist members in realization of their personal health-care related goals. This role includes telephonic member and provider outreach, data collection and analyzation, reporting, clinical review, medical and behavioral health assessments, and documentation. You will be pulling, sorting, and analyzing data to determine member eligibility for the Population Health management Program and coordinating/providing care that is timely, effective, equitable, safe, and member-centric while following HMO processes.