Amergis Healthcare Staffing is seeking a Care Management Nurse Coordinator who is responsible for coordinating the continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery and compliance with medical regime.
Company: Amergis Staffing
Location: Chicago, IL
Schedule: Monday-Friday
Weekly pay and benefits offered!
Typical Responsibilities:
Collaborates on the development of care management protocols, policies, and procedures.
Outreaches and responds to members, providers or vendors to assess needs, obtain relevant information, develop appropriate plans and clearly communicate expected actions to meet members’ needs; escalates unresolved needs appropriately to Manager, Medical Director or other appropriate leader
Documents all activities in care management system according to established policy and procedure
Works with providers and vendors to ensure use care management, disease management, utilization management, and pharmacy protocols.
Provides clinical expertise when necessary to support coordination of care.
Collaborates on development of quality metrics and data collection.
Participates in patient care rounds with network providers and vendors.
Reports incidents of suspected abuse, neglect and exploitation according to established policy and procedure
Prepares reports and submits for review as requested.
Represents Clinical Services department in committees, workgroups as requested by the Manager of Care Management-County Care, etc.
Ranks and manages competing priorities, and completes both member care plans and other assignments within appropriate time frames.
Minimum Qualifications:
Licensed as Registered Professional Nurse in the State of Illinois
Bachelor’s Degree from accredited college or university
2 years’ work experience in Care Coordination or Case Management as primary responsibility
1 year of work experience in a managed care organization or health plan
1 year of experience in ambulatory nursing, home health, or public community health
Prior experience creating and implementing plans of care for complex patients
Prior experience working with Medicare, Medicaid, and Third Party Payer review
Prior experience working with Medically underserved population
Prior experience with safety, grievances, quality or risk management backgrounds do well in the role.
Current BLS card through AHA - in person courses accepted only
Covid-19 Vaccine Required
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
Competitive pay & weekly paychecks
Health, dental, vision, and life insurance
401(k) savings plan
Awards and recognition programs
Benefit eligibility is dependent on employment status.
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
