RN- Case Manager
Beacon Hill Staffing Group, LLC

Chicago, Illinois

Posted in Health and Safety


This job has expired.

Job Info


Hours:
M-F
8:00am-4:30pm

Responsibilities

  • Coordinates care for members utilizing approved medical necessity screening criteria (i.e., NCD, LCD, InterQual, etc.).
  • Coordinates ancillary services as needed (home health, DME, etc.).
  • Follows patient through various transitions of care to ensure that any gaps in treatment plans are identified and remedied and promote efficient health care delivery.
  • Participates in assessment activities to develop individualized plans of care in coordination with patient, family, and providers.
  • Applies case management standards of practice to focus on effective care of high-risk high-need patients.
  • Serves as a patient advocate and resource and provides critical information and recommendations to the rest of the care team.
  • Maintains strong knowledge of UM, Case management, community resources and plan benefits to promote improved member experience and health outcomes.
  • Works collaboratively with the member (and caregivers), primary care physicians, specialists, and other care providers to ensure member compliance and adherence to medical plan of care.
  • Assists Health Services Team in implementing best practices for chronic care and disease management.
  • Follows standard protocols, processes, and policies.
  • Provides member education to assist with self-management and encourages members to make healthy lifestyle changes.
  • Interacts with Medical Directors, Pharmacists, Behavioral Health Clinicians, and Other Impact Team Members on challenging cases
  • Makes referrals to outside sources.
  • Documents and tracks clinical reviews, member care plans, referrals, and findings.
  • Performs other duties, projects and actions as assigned

Beacon Hill is an Equal Opportunity Employer that values the strength diversity brings to the workplace. Individuals with Disabilities and Protected Veterans are encouraged to apply.

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Company Profile:

Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.

Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.

Learn more about Beacon Hill Staffing Group and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.beaconhillstaffing.com.

We look forward to working with you!

Beacon Hill. Employing the Future™


This job has expired.

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