RN Care Ally

Duly Health and Care • St. Charles, IL

3d • $67,000 - $101,000 • Onsite

About The Position

At Duly Health and Care, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do. With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

Requirements

• Must be an active Registered Nurse License in the State of Illinois in good standing.
• Current CPR certification must be maintained (BLS).
• Associate’s degree in nursing required.
• 2-4 years of experience working within the primary care or hospital setting as a Registered Nurse.

Nice To Haves

• Certification in Case Management, preferred.
• Bachelor’s degree in nursing preferred.
• Previous experience working within case management preferred.

Responsibilities

• Analyze data collected from the predictive modeling tools to identify eligible patients for the Case Management Program.
• Enroll and manage a case load of patients with complex medical needs, completing case management attestations and initial assessments in accordance with health plan requirements.
• Develop individualized case management plans with prioritized goals and appropriate interventions in compliance with the risk stratification level requirements. In addition, complete all documentation, member communications, and case closures per policies and procedures.
• Coordinate Health Care Services with appropriate physicians and health care providers.
• Manage and provide a comprehensive summary and log of all active Case Management Cases as required by the UM/QA Committee and/or Health Plan.
• Act as a resource for Utilization Management Staff, physicians, office staff and Patients.
• Assist with the evaluation and amendment of Case Management Policy and Procedures
• Attend continuing education sessions and training relating to your job functions as required.
• Perform additional duties/tasks as assigned.

Benefits

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
• Access to a mental health benefit at no cost.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree