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Nurse Case Manager

VIVA • Downers Grove, IL, US • published 2026-10-01 03:58:50.025659

Description

Hybrid role \- mostly telephonic (90%) and may need to do member visits if the member requests it and they are no more than an hour way. Office visits to required once a quarter. The Care Manager RN is responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical and behavioral healthcare through assessment and care planning, direct provider coordination / collaboration, and coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost\-effective outcomes. Position Responsibilities: Responsible for telephonic and/or face to face assessment, planning, implementing and coordinating care management activities with members to ensure that their medical and behavioral health needs are met and to enhance the member’s overall wellness. Develops a proactive course of action to address issues presented and facilitate short and long\-term outcomes as well as identify opportunities to e...

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