Are you passionate about making a meaningful impact on the lives of patients with the highest level of need? Do you thrive in a dynamic and innovative healthcare environment?

At Lumeris, we believe in leveraging technology to create a strategic, tailored approach to patient care. Our high risk patient intervention program allows us to extend clinical reach and provide direct care to high-risk Medicare patients in the comfort of their own homes.

• An annual merit bonus maximum potential of $5,096 to $6,818.
• A growth opportunity to spearhead a new program and acquire case management experience.
• The opportunity to obtain a case management certification if desired (not required).

To be considered, please apply at this link: https://lumeris.wd1.myworkdayjobs.com/en-US/LC/details/RN-Field-Case-Manager--Hybrid-_R0006421

Provides in-home assessments, telephonic care, and case management to Medicare members as part of a multidisciplinary care team. Offers members health and disease education and empowers them to participate in their care. Assesses clinical and social needs, collaborates with care team, provides timely skilled nursing in the home as needed.

Primary Responsibilities

• Works cross-functionally with providers and a multi-disciplinary care team. Collaborates with the care team and is the first level of licensed escalation to provide quality services to the patient.
• Fosters relationships & establishes trust with patients, family members, and care teams.
• Answers clinical questions through phone calls. Makes outbound calls to assess and triage member's current health status.
• Uses best practices to resolve patient needs as appropriate or to prep message for provider that contains all necessary information.
• Conducts in-home assessments of functional abilities and environmental needs. Administers medications and treatments prescribed by physicians (e.g., blood draws, IC antibiotics, IV fluids, wound care, etc.).
• Provides patient education to assist with self-management. Educates members on disease processes, and encourages members to make healthy lifestyle changes.
• Documents and tracks findings in a computerized system.
• Reviews member care plans and collaborates with providers to ensure there are no gaps in care.
• Identifies gaps or barriers in treatment plans.
• Coordinates care for members including services such as home health and Durable Medical Equipment (DME), as needed.
• Recommends referrals to outside sources. Connects members to community resources.
• Provides consultation on member medications and DME.
• Collaborates with members, providers, and care givers to ensure positive care outcomes during care transitions. Serves as liaison for patients between health plans, government & community programs, providers, and family.
• Ensures that discharged members receive the necessary services and resources, including medication reconciliation.
• Partners with medical management team members in development of new programs.

Qualifications

• Current licensure in good standing as a registered nurse in the state of Missouri or Illinois and eligibility for licensure in other states
• 5 years of relevant experience or the knowledge, skill, or ability to succeed in the role
• Solid computer skills with the ability to type and talk simultaneously
• Excellent interpersonal and customer service skills, including telephone etiquette
• Ability to multi-task, prioritize, and adapt to a changing environment
• Travel greater than 50% of the time to member homes for in-home assessments

Preferred:

• 2 years’ experience in a hospital or home health setting

Disclaimer

The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Additional Job Description

Other duties of the Registered Nurse include but are not limited to: Conducting in-home assessments of functional abilities and environmental needs; consultation and coordination with other team members; administer medications and treatments prescribed by physicians (e.g. blood draws, IV antibiotics, IV fluids, and wound care); consultation with members on their medications and durable medical equipment, review member care plans, address home needs, and connect members to community resources; collaboration with primary care physicians and other providers to ensure there are no gaps in care closure; collaboration with members, providers, and care givers to ensure positive care outcomes during care transitions.

Job Type: Full-time

Pay: $72,800.00 - $97,400.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee discount
• Health insurance
• Life insurance
• Paid sick time
• Paid time off
• Referral program
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• On call

Ability to Relocate:

• Chicago, IL: Relocate before starting work (Required)

Work Location: In person