RN Case Manager - Care Ally- Naperville

RN Case Manager – Care Ally – Naperville

Full‑time, 40 hours per week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed.

• Comprehensive medical, dental, and vision benefits, including 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.
• Up to 12 weeks of parental leave at 100% pay.
• Financial benefit for adoption and surrogacy for non‑physician team members upon eligibility.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.

The RN Case Manager 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 the 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 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.

Responsibilities include:

• 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 case management attestations and initial assessments in accordance with health plan requirements.
• Develop individualized case management plans with prioritized goals and appropriate interventions, complying with risk stratification levels.
• Maintain documentation, member communications, and case closures per policies and procedures.
• Demonstrate knowledge of current case management standards.
• Coordinate health care services with physicians and other providers.
• Maintain a comprehensive summary and log of all active case management cases as required by the UM/QA Committee 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 relevant to job functions as required.
• Perform additional duties/tasks as assigned.

• Must be an active Registered Nurse License in the State of Illinois in good standing.
• Certification in Case Management preferred.
• Current CPR certification (BLS) must be maintained.

• Associate’s degree in nursing required;
  Bachelor’s degree in nursing preferred.

• 2–4 years of experience working as a registered nurse in primary care or a hospital setting.
• Previous experience in case management preferred.

Base pay range: $79,040–$104,000, determined by skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses