Delegated Care Manager

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $67k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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Duly Health and Care

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Duly Health and Care is a regional healthcare system providing in-person and virtual medical services, including primary care, specialties (such as orthopedics and spine), immediate care centers, labs, and telehealth. The system emphasizes same-day and next-day appointments, walk-in immediate care with short wait times, MyChart patient portal access, more than 1,000 providers, over 25 lab locations, and patient billing and contact services. Located in Illinois with a corporate office in Downers Grove, Duly offers coordinated care across clinics and an Accountable Care Organization.

📋 Description

• Analyze health plan reports, predictive modeling tools, referrals, and clinical data to identify members eligible for Case Management services. • Conduct comprehensive telephonic and virtual assessments to evaluate medical, behavioral, environmental, social, and support needs. • Enroll and manage a caseload of members with complex health conditions. • Develop, implement, monitor, and update individualized care plans with measurable goals and interventions. • Coordinate healthcare services with providers and community resources. • Facilitate transitions of care following hospital and post-acute discharges. • Educate members and caregivers regarding disease management and benefits. • Maintain accurate and timely documentation and reporting. • Collaborate with Utilization Management, Quality, and Population Health teams. • Perform other duties as assigned.

🎯 Requirements

• Current unrestricted Registered Nurse (RN) license required. • Bachelor of Science in Nursing preferred. • CCM, ACM, or equivalent certification preferred. • Minimum two years of clinical nursing experience required. • Two years of case management, managed care, or population health experience preferred. • Remote or telephonic case management experience preferred. • Knowledge of case management, care coordination, and population health principles. • Strong communication, assessment, and critical thinking skills. • Ability to work independently in a remote environment. • Strong organizational and time management abilities. • Proficiency with EMR systems, care management platforms, and Microsoft Office. • Knowledge of community resources and social determinants of health.

🏖️ 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. • Additional compensation may be available through shift differentials, bonuses, and other incentives.