RN Cardiac Device

Duly Health and Care • Elgin, IL

32d • $79,040 - $104,000 • Onsite

About The Position

The RN Case Manager Care Ally works in collaboration with physicians, patients and families to promote quality outcomes for patients with complex medical needs. The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive case management according to program guidelines. The Case Manager is responsible for managing patients in all health care settings to assure the appropriate level-of-care is provided, to prevent inpatient re-admissions and ensure that the patients' medical, environmental and psychosocial needs are met over the continuum of care. The Nurse Case Manager acts as an advocate through the coordination and communication with the health care team and family regarding care planning and implementation of recovery goals. In addition, the case manager will assess and coordinate resources available to patients and maximize the use of health care benefits. 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. Proficient in knowledge of current Case Management Standards 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. Let’s start with what matters. People. Purpose. Care. At Duly Health and Care, we believe healthcare works best when it’s personal, connected, and led by people who truly care. We are a physician-led medical group built on trusted relationships, teamwork, and a shared commitment to putting patients first in every decision we make. Our team members are caregivers, collaborators, problem-solvers, and leaders. Together, we show up with compassion, act with purpose, and take ownership of the care we deliver and the experience we create. Whether you’re caring directly for patients or supporting the teams who do, your role matters here, and your voice is valued. We listen with intention, work as one, and challenge ourselves to keep improving, not for recognition, but because our patients, families, and communities count on us. Innovation at Duly isn’t about chasing what’s next for its own sake. It’s about finding better ways to deliver high-quality, affordable, and accessible care, today and into the future. If you’re looking for meaningful work, supportive teammates, and the opportunity to help shape the future of care while staying grounded in compassion and community, you’ll find your place at Duly.

Requirements

• 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

• Promote quality outcomes for patients with complex medical needs in collaboration with physicians, patients, and families.
• Increase efficient utilization of health care services.
• Identify chronic or catastrophic cases and initiate intensive case management.
• Manage patients in all health care settings to assure the appropriate level-of-care.
• Prevent inpatient re-admissions and ensure patients' medical, environmental, and psychosocial needs are met.
• Act as an advocate through coordination and communication with the health care team and family regarding care planning and implementation of recovery goals.
• Assess and coordinate available patient resources and maximize the use of health care benefits.
• Analyze data from predictive modeling tools to identify eligible patients for the Case Management Program.
• Enroll and manage a caseload of patients with complex medical needs, completing attestations and initial assessments.
• Develop individualized case management plans with prioritized goals and appropriate interventions.
• 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.
• 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 job functions.
• Perform additional duties/tasks as assigned.

Benefits

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
• 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