$ 50 / hour

　　Maxim 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.

　　Typical Responsibilities:

　　Collaborates on the development of care management protocols, policies, and procedures.

　　Outreaches and responds to CountyCare 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

　　2 years of work experience in acute care nursing

　　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

　　Current BLS card through AHA - in person courses accepted only

　　Covid-19 Vaccine Required

　　Benefits

　　At Maxim Healthcare Staffing, 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 Maxim Healthcare Staffing

　　Maxim Healthcare Staffing has been making a difference in the lives of our patients, caregivers, and employees for more than 30 years. Our nationwide suite of services includes home healthcare, companion and behavioral care, healthcare staffing, and workforce solutions. Maxim's commitment to customer service, compassionate patient care, and filling critical staffing needs makes us a trusted partner wherever healthcare is needed.

　　Maxim Healthcare Staffing 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.